Seizures and the long-QT syndrome.
We describe a case of idiopathic long-QT syndrome in a 4-year-old Hispanic girl. She had been seen previously at an outside hospital for possible new-onset seizure disorder but was brought to our emergency department after sustaining an unwitnessed fall. Her ECG was significant for changes consistent with long-QT syndrome. Emergency physicians should understand the necessity of electrocardiography in all pediatric patients who present with multiple spontaneous falls, episodes of dizziness, new-onset seizure activity and syncopal episodes.
Department of Emergency Medicine, University of California at Irvine, Orange, USA.
M R
MR
Bell
R J
RJ
Kozak
D000058:Accidental Falls; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D010138:Pacemaker, Artificial; D012640:Seizures / Q000209:etiology*
D000319:Adrenergic beta-Antagonists