{"id":1251,"date":"2011-10-08T10:00:00","date_gmt":"2011-10-08T10:00:00","guid":{"rendered":"http:\/\/www.emlitofnote.com\/?p=1251"},"modified":"2016-08-01T08:59:00","modified_gmt":"2016-08-01T15:59:00","slug":"not-long-but-short-qt","status":"publish","type":"post","link":"https:\/\/www.emlitofnote.com\/?p=1251","title":{"rendered":"Not Long, But Short QT"},"content":{"rendered":"<p>Another rare channelopathy that I was not previously aware of, but that carries the same risks of sudden death as long-QT syndromes.<\/p>\n<p>This is a longitudinal observational study of the European Short QT Registry &#8211; which has a grand total of 53 patients &#8211; who were followed for, on average, 5 years. &nbsp;The diagnosis of short QT does not have a generally accepted definition, but typically means a QTc less than 340 or 360, and the other literature shows a high association with sudden death and QTc less than 340. &nbsp;In their registry 23% had a HERG gain-of-function mutation identified, and there is also an autosomal dominant inheritance pattern identified.<\/p>\n<p>Based on their follow-up for events, or for cardiac events recorded by implantable defibrillators, there was a 4.9% incidence of syncope, defibrillator shocks, or nonsustained polymorphic ventricular tachycardia. &nbsp;Prophylactic treatment involves either the implantable defibrillator or daily hydroquinidine therapy to prolong QT.<\/p>\n<p>Something new to look for on EKGs that you&#8217;ll probably never see, but will seem really smart if you do.<\/p>\n<p>&#8220;Long-term follow-up of patients with short QT syndrome&#8221;<br \/><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21798421\">www.ncbi.nlm.nih.gov\/pubmed\/21798421<\/a><\/p>\n\n<div class=\"twitter-share\"><a href=\"https:\/\/twitter.com\/intent\/tweet?via=emlitofnote\" class=\"twitter-share-button\">Tweet<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Another rare channelopathy that I was not previously aware of, but that carries the same risks of sudden death as long-QT syndromes. This is a longitudinal observational study of the European Short QT Registry &#8211; which has a grand total of 53 patients &#8211; who were followed for, on average, 5 years. &nbsp;The diagnosis of &hellip; <a href=\"https:\/\/www.emlitofnote.com\/?p=1251\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Not Long, But Short QT&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[6],"tags":[],"class_list":["post-1251","post","type-post","status-publish","format-standard","hentry","category-cardiology"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7KesJ-kb","jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1251"}],"version-history":[{"count":1,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1251\/revisions"}],"predecessor-version":[{"id":2966,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=\/wp\/v2\/posts\/1251\/revisions\/2966"}],"wp:attachment":[{"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.emlitofnote.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}