Long QT Syndrome electrocardiogram: Difference between revisions
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==Overview== | ==Overview== | ||
==Electrocardiogram== | ==Electrocardiogram== | ||
The diagnosis of LQTS is not easy since 2.5% of the healthy population have prolonged QT interval, and 10% of LQTS patients have a normal QT interval. A commonly used criterion to diagnose LQTS is the LQTS "diagnostic score". Its based on several criteria giving points to each. With 4 or more points the probability is high for LQTS, and with 1 or less point the probability is low. Two or 3 points indicates intermediate probability. | The diagnosis of LQTS is not easy since 2.5% of the healthy population have prolonged QT interval, and 10% of LQTS patients have a normal QT interval. A commonly used criterion to diagnose LQTS is the LQTS "diagnostic score". Its based on several criteria giving points to each. With 4 or more points the probability is high for LQTS, and with 1 or less point the probability is low. Two or 3 points indicates intermediate probability. | ||
QTc (Defined as QT interval / square root of RR interval) | * QTc (Defined as QT interval / square root of RR interval) | ||
>= 480 msec - 3 points | ** >= 480 msec - 3 points | ||
460-470 msec - 2 points | ** 460-470 msec - 2 points | ||
450 msec and male gender - 1 point | ** 450 msec and male gender - 1 point | ||
Torsades de Pointes ventricular tachycardia - 2 points | * Torsades de Pointes ventricular tachycardia - 2 points | ||
T wave alternans - 1 point | * T wave alternans - 1 point | ||
Notched T wave in at least 3 leads - 1 point | * Notched T wave in at least 3 leads - 1 point | ||
Low heart rate for age (children) - 0.5 points | * Low heart rate for age (children) - 0.5 points | ||
Syncope (one cannot receive points both for syncope and Torsades de pointes) | * Syncope (one cannot receive points both for syncope and Torsades de pointes) | ||
With stress - 2 points | * With stress - 2 points | ||
Without stress - 1 point | * Without stress - 1 point | ||
Congenital deafness - 0.5 points | * Congenital deafness - 0.5 points | ||
Family history (the same family member cannot be counted for LQTS and sudden death) | * Family history (the same family member cannot be counted for LQTS and sudden death) | ||
Other family members with definite LQTS - 1 point | * Other family members with definite LQTS - 1 point | ||
Sudden death in immediate family (members before the age 30) - 0.5 points | * Sudden death in immediate family (members before the age 30) - 0.5 points | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 05:50, 24 August 2012
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Risk calculators and risk factors for Long QT Syndrome electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Electrocardiogram
The diagnosis of LQTS is not easy since 2.5% of the healthy population have prolonged QT interval, and 10% of LQTS patients have a normal QT interval. A commonly used criterion to diagnose LQTS is the LQTS "diagnostic score". Its based on several criteria giving points to each. With 4 or more points the probability is high for LQTS, and with 1 or less point the probability is low. Two or 3 points indicates intermediate probability.
- QTc (Defined as QT interval / square root of RR interval)
- >= 480 msec - 3 points
- 460-470 msec - 2 points
- 450 msec and male gender - 1 point
- Torsades de Pointes ventricular tachycardia - 2 points
- T wave alternans - 1 point
- Notched T wave in at least 3 leads - 1 point
- Low heart rate for age (children) - 0.5 points
- Syncope (one cannot receive points both for syncope and Torsades de pointes)
- With stress - 2 points
- Without stress - 1 point
- Congenital deafness - 0.5 points
- Family history (the same family member cannot be counted for LQTS and sudden death)
- Other family members with definite LQTS - 1 point
- Sudden death in immediate family (members before the age 30) - 0.5 points