[SCD-FORUM] 28E Young woman with LQTS. Dr. Kukla

[SCD Symposium]

First of all I would like to say "thank you" for the nice on-line  
symposium
on SCD.

I would kindly ask Prof. Silvia Priori....worldwide famous expert on  
LQTS

Namely, the one of my patient is a 23-yo woman.....LQTS was diagnosed 2
years ago. It was 5 months after first (and the only) partum. She had  
lost
of conscious. QT interval in rest ECG - 515 msec, in Holter  
monitorng....PVc
-300/day, QT in nighttime till 600 msec, dynamicity in T-wave complex,
postextrasystolic TU wave augmentation. Exercise test induced  
momomorphic
PVC (monomorphic bigeminy)......PVC disapeared totally in recovery  
phase.

Rest ECG shows notched T wave in V2-V5 so it looks like LQTS type 2.

There is no evidence of SCD in her family. We started treatment with
Beta-bloker -metoprolol until dose  3 x 75 mg (this dose is well  
tolerated
by her...with no syncope so far). (Nadolol is not available in Poland  
now).
Because she plans to have the next pregnancy. My questions are..

1) what should be the proper therapy during pregnancy ?

2) how to carry safe the patient during the delivery period ?

3) should I increase the dose of beta-bloker in post-partum period ?

with best regard,

Dr Piotr Kukla
Specialistic Hospital in Gorlice
Departament of Internal Medicine
Gorlice, Poland


--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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