Management of patients with the hereditary long QT syndrome

被引:20
作者
Moss, AJ [1 ]
机构
[1] Univ Rochester, Sch Med & Dent, Dept Med, Cardiol Unit, Rochester, NY USA
关键词
arrhythmias; torsades de pointes; syncope; sudden death; beta blockers; pacemakers; implantable cardioverter defibrillator;
D O I
10.1111/j.1540-8167.1998.tb00952.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Long QT Syndrome. The hereditary long QT syndrome is an inherited ion channel disorder with QT prolongation, morphologic changes in the T waves, and a relatively high frequency of syncope, T wave alternans, torsades de pointes-type ventricular tachycardia, and sudden death. Monotherapy with beta blockers is the treatment of first choice. In patients with recurrent syncope despite therapy with beta blockers, pacemakers and/or ganglionectomy may be useful in selected cases with an implantable cardioverter defibrillator used as a fail-safe approach in high-risk patients.
引用
收藏
页码:668 / 674
页数:7
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