UNEXPECTED CAUSE OF SYNCOPE IN A 27 YEAR OLD PATIENT: CASE REPORT

Gerda Mierkytė, Benas Kireilis, Olesia Ivanova, Diana Rinkūnienė
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Abstract

Long QT syndrome (LQTS) is a rare inherited cardiac condition characterized by QT prolongation and T-wave abnormalities on the electrocardiogram (ECG). It is com­monly associated with syncope, however, sudden car­diac death can occur due to Torsades de Pointes (TdP). We report the case of a 27-year-old female patient with genetically confirmed LQTS type 2 KCNH2 gene mu­tation found, who experienced multiple syncopes since a young age. After antipsychotic drugs were removed and ß-adrenoblockers were prescribed, fainting episo­des did not reoccur.
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一名 27 岁患者晕厥的意外原因:病例报告
长 QT 综合征(LQTS)是一种罕见的遗传性心脏病,其特征是心电图(ECG)上出现 QT 间期延长和 T 波异常。它通常伴有晕厥,但也可能因心源性猝死(TdP)而发生。我们报告了一例 27 岁女性患者的病例,该患者经基因证实患有 LQTS 2 型 KCNH2 基因突变。在停用抗精神病药物并服用ß-肾上腺受体阻滞剂后,晕厥发作没有再发生。
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