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Congenital QT Syndromes, Sports Medicine

Chau Bui, DO, Paul Meirick, MD and Suraj A. Achar, MD, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Channelopathies refer to a group of inherited arrhythmogenic diseases caused by mutations in genes encoding for ion channel proteins in cardiomyocytes that disrupt the balance of cur...

DIAGNOSIS

  • Diagnosis is based mostly on electrocardiogram (ECG) pattern because patients may be symptomatic or asymptomatic.

  • Prehospital:

    • In the case that any patient with a QT syndrome converts into a l...

TREATMENT

  • Congenital LQTS:

    • All patients with congenital or acquired QT syndrome should be referred to an electrophysiologist or cardiologist.

      ALERT

      All symptomatic patients should be treated owing to the...

ONGOING CARE

All patients with channelopathies should be followed regularly by a cardiologist or electrophysiologist. Education and restrictions regarding exercise are crucial to survival. 

FOLLOW-UP RECOMMENDATIONS

REFERENCES

1
Drezner JA, Ackerman MJ, Cannon BC, et al. Abnormal electrocardiographic findings in athletes: recognising changes suggestive of primary electrical disease. Br J Sports Med.  2013;47(...

ADDITIONAL READING

  • Ackerman MJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 10: the cardiac chan...

CLINICAL PEARLS

  • Any athlete with symptoms of palpitations, syncope, presyncope, any collapse, or with a family history of SCD or “accidental” death should be further evaluated with the tools reviewed ...

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