Long QT syndrome physical examination

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

Overview

Physical examination of patients with long QT syndrome is usually remarkable for hearing loss in Jervell and Lang-Nielsen (JLN) syndrome. Heart murmur due to hypertrophic cardiomyopathy or valvular defect may be heard.

Physical Examination

Physical examination of patients with long QT syndrome is usually remarkable for hearing loss in Jervell and Lang-Nielsen (JLN) syndrome. Heart murmur due to hypertrophic cardiomyopathy or valvular defect may be heard.

Appearance of the Patient

  • Patients with long QT syndrome usually appear normal.

Vital Signs

  • Bradycardia with regular pulse due to aging may be seen.

Skin

  • Skin examination of patients with long QT syndrome is usually normal.

HEENT

  • Hearing loss (congenital deafness), may be seen in Jervell and Lang-Nielsen (JLN) syndrome.[1]

Neck

  • Neck examination of patients with long QT syndrome is usually normal.

Lungs

  • Pulmonary examination of patients with Long QT syndrome is usually normal.

Heart

  • Heart murmur due to hypertrophic cardiomyopathy or valvular defect may be heard.[2]

Abdomen

  • Abdominal examination of patients with long QT syndrome is usually normal.

Back

  • Scoliosis may be seen in LQT7 (Andersen syndrome).

Genitourinary

  • Genitourinary examination of patients with long QT syndrome is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with long QT syndrome is usually normal.

Extremities

  • Short stature may be seen in LQT7 (Andersen syndrome).[3]

References

  1. Crotti L, Celano G, Dagradi F, Schwartz PJ (July 2008). "Congenital long QT syndrome". Orphanet J Rare Dis. 3: 18. doi:10.1186/1750-1172-3-18. PMC 2474834. PMID 18606002.
  2. Niaz A, Rizvi SF, Khurram D (2011). "Prevalence of long QT syndrome and other cardiac defects in deaf-mute children". J Ayub Med Coll Abbottabad. 23 (1): 5–8. PMID 22830134.
  3. Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean L, Stephens K, Amemiya A, Veerapandiyan A, Statland JM, Tawil R. PMID 20301441. Vancouver style error: initials (help); Missing or empty |title= (help)

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