Short QT Syndrome:Diagnostic Alogarithm

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Short QT syndrome A diagnostic scoring system

description

The distinctive ECG feature is the abbreviated QTc(

Transcript of Short QT Syndrome:Diagnostic Alogarithm

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Short QT syndromeA diagnostic scoring system

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Algorithm

Personal HistoryFamily HistoryTake a 12 lead ECGLook at genetic report

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Personal History

FEATURES SCORES

History of sudden cardiac arrest 2

Documented PMVT or VF 2

Unexplained syncope 1

Atrial fibrillation 1

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Family History

FEATURES SCORE

First- or second-degree relative with high probability of SQT

2

First- or second-degree relative with autopsy-negative SCD

1

Sudden infant death syndrome 1

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12 lead ECG

Corrected QT interval in ms score

<370 1

<350 2

<330 3

J point peak to T-wave interval<120 msec

1

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GENETIC STUDY

GENOTYPE SCORE

Geno type positive 2

Mutation of undetermined significance in a culprit gene

1

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Interpretation

A score > 4 indicates high ProbabilityA score > 3 indicates intermediate

probabilityA score > 2 indicates low probability

This scoring system requires at least 1 point from ECG section before evaluating other data

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