Long QT Syndrome surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Farima Kahe M.D. [3]

Overview

Surgery is usually reserved for patients with either Strong family history of sudden cardiac death OR high-risk patients with Jervell and Lang-Nielsen syndrome.

Indications

  • Implantable cardioverter-defibrillator is not the first-line treatment option for patients with long QT syndrome. Surgery is usually reserved for patients with either:[1][2]
    • Strong family history of sudden cardiac death
    • High-risk patients with Jervell and Lang-Nielsen (JLN) syndrome
  • Left cervicothoracic stellectomy is another antiadrenergic therapeutic measure used in high-risk patients with long QT syndrome (LQTS), especially in those with recurrent cardiac events despite beta-blocker therapy.

References

  1. Zareba W, Moss AJ, Daubert JP, Hall WJ, Robinson JL, Andrews M (April 2003). "Implantable cardioverter defibrillator in high-risk long QT syndrome patients". J. Cardiovasc. Electrophysiol. 14 (4): 337–41. doi:10.1046/j.1540-8167.2003.02545.x. PMID 12741701.
  2. Goldenberg I, Moss AJ (June 2008). "Long QT syndrome". J. Am. Coll. Cardiol. 51 (24): 2291–300. doi:10.1016/j.jacc.2008.02.068. PMID 18549912.