How to Treat Long QT Syndrome

The QT interval on an EKG is the time it takes the cells in the lower chambers of the heart to discharge electrically and then recharge. If it takes longer than normal it is called long QT syndrome. Not everyone experiences symptoms. For those who are symptomatic they may experience, irregular heartbeats, fainting and possibly seizures. Long QT syndrome can be inherited or develop as a side effect from taking certain medications.

Instructions

Difficulty: Moderate

1. See a cardiologist. A heart specialist will evaluate symptoms and review your medical history. Your doctor will order tests to confirm a correct diagnosis.
2. Undergo diagnostic tests. Your physician will likely order an EKG where you QT interval will be measured. An exercise stress test may be performed. Your cardiologist may order a holter monitor. This monitor is worn for about 48 hours to continuously monitor your hearts rhythm.
3. Inform your physician about medications you are taking. Some people have acquired long QT syndrome caused by medications. Diuretics, antidepressants and antihistamines may all cause long QT syndrome in some individuals.
4. Take medication. Beta blockers may be prescribed and are often effective in stopping irregular heart beats. Potassium helps the hearts electrical system and will be prescribed if a deficiency is found.
5. Listen to your physicians recommendations regarding current medications. You doctor may suggest you stop taking certain medications that may be causing long QT syndrome. Discuss alternative medications if needed.
6. Have surgery. If you experience symptoms often and medication is ineffective, surgery might be recommended. A defibrillator or pacemaker can be implanted into the chest. They can stop dangerous arrhythmias.

Tips & Warnings

• If you are symptomatic and have arrhythmias consider wearing a medical alert bracelet. This will inform paramedics about your condition if you were unconscious. If they are aware of your condition it will help determine appropriate treatment.
• Become educated about long QT syndrome. Because of the arrhythmias people with the syndrome are at higher risk for sudden death. Discuss any lifestyle changes with your physician.
• When you do experience rapid heartbeats or other irregular heartbeats sit down immediately. If the irregularity continues it can cause you to faint.