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Europace 2005 7(1):50-53; doi:10.1016/j.eupc.2004.09.004
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

CASE REPORT

"Benign" course and malignant clinical presentations of congenital long QT syndrome

Vladimir Khalameizer, Nadia Pancheva, Leonardo Reizin and I. Eli Ovsyshcher*

Barzilai Medical Center, Ashkelon & Faculty of Health Sciences, Ben Gurion University of the Negev BeerSheva, Israel

This report describes the "benign" clinical course of a congenital long QT syndrome (LQTS) simulated acute coronary event in an 85 year old woman who had a history of recurrent syncope accompanied by numerous severe traumatic events from childhood. Her daughter died suddenly. LQTS was diagnosed on the basis of characteristic ECG findings, including a permanently prolonged QT interval, typical dynamic T-wave changes, and runs of torsades de pointes. A permanent DDDR pacemaker was implanted. Eighteen months after implantation there have been no further complaints of dizziness or syncope.

Key Words: congenital long QT, torsades de pointes, pacemaker

*Corresponding author. Cardiology, Soroka University Medical Center, P.O. Box 151, BeerSheva 84101, Israel. Tel./fax: +972 8 628 3179. E-mail address: eliovsy{at}bgumail.bgu.ac.il (I.E. Ovsyshcher).


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