Twelve-Year Follow-Up of a Teenager with Congenital Long QT Syndrome Presenting as Idiopathic Epilepsy

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題名:	Twelve-Year Follow-Up of a Teenager with Congenital Long QT Syndrome Presenting as Idiopathic Epilepsy
作者:	Sung-Kien Sia;Ming-Cheng Lin;Kwo-Chang Ueng
貢獻者:	中山醫學大學：醫學系
關鍵詞:	Congenital long QT syndrome (LQTS);Epilepsy;Implantable cardioverter-defibrillator (ICD)
日期:	2008
上傳時間:	2011-03-01T02:44:24Z (UTC)
摘要:	Congenital long QT syndrome (LQTS) is frequently misdiagnosed and maltreated due to its similar presentations to many disorders, most notably idiopathic epilepsy. The syndrome is characterized by a prolonged QT interval and T-wave morphology abnormalities in association with torsade de pointes. The heart is structurally and functionally normal. We report a 17-year-old male teenager who was initially treated as idiopathic epilepsy for 5 years. Clinical presentations, series examinations and inadequate response to anti-convulsant treatment lead to the final diagnosis of congenital long QT syndrome. Beta-blocker treatment was the treatment of choice, but it was complicated by severe bradycardia. Ademand-type atrial chamber pacemaker (AAIR) was placed initially, but it was not sufficient. Dual-chamber implantable cardioverter-defibrillator (ICD) was the best solution for this patient.
URI:	https://ir.csmu.edu.tw:8080/handle/310902500/3491
關聯:	Acta Cardiol Sin 2008;24:104-8
顯示於類別:	[醫學系] 期刊論文

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