当前位置: 首页 > 详情页

Unique ECG presentations and clinical management of a symptomatic LQT2 female carrying a novel de novo KCNH2 mutation

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

机构: [a]Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China [b]Department of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, China [c]Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA
出处:
ISSN:

关键词: Long QT syndrome Syncope Cardiac arrest torsade de pointes Sudden cardiac death KCNH2 mutation

摘要:
A 26-year-old woman, 12 days in postpartum, developed recurrent syncope and cardiac arrest. Her ECG revealed QT-prolongation associated with LQT2-specific T-U wave patterns, T wave alternans, long QT-dependent torsade de pointes (TdP) and ventricular fibrillation (VF). She also had intermittent LBBB (80 bpm) on alternate beats and RBBB at sinus tachycardia (113 bpm). Family genotyping revealed a novel de novo missense mutation G604C of KCNH2. Propranolol slowed heart rate and further prolonged QT interval (610 ms) that caused TdP recurrence. Mexiletine combined with magnesium and potassium supplements prevented TdP/VF recurrence. This patient has remained event-free after 9-month follow-up. (C) 2017 Elsevier Inc. All rights reserved.

语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 心脏和心血管系统
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 心脏和心血管系统
JCR分区:
出版当年[2016]版:
Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

第一作者:
第一作者机构: [a]Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China [*1]Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China
通讯作者:
通讯机构: [*1]Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院