[Long QT syndrome in the postpartum period].
The postpartum period can unmask LQTS. We described a case of 22-year-old woman with episode of lost of consciousness 6 months after delivery. Holter monitoring showed episodes of QTc prolongation, max. QTc - 618 ms, medium QTc - 538 ms with different morphology types of T wave. Beta-blocker (BB) therapy (metoprolol was initiated) and titrated up to 200 mg daily. The patient was out of symptoms. After 2 years during the second pregnancy she reduced BB to 50 mg/day. In the postpartum period, 3 months after delivery she had syncopal episodes. Holter monitoring showed polymorphic ventricular tachycardia. The cardioverter-defibrillator was implanted.
Kukla
Piotr
P
Oddział Chorób Wewnetrznych, Szpital Specjalistyczny, Gorlice. kukla_piotr@poczta.onet.pl
Filipecki
Artur
A
Jastrzebski
Marek
M
Plato
Andrzej
A
Kukla
Monika
M
Malarczyk-Zaher
Barbara
B
Janowski
Mariusz
M
Zienciuk
Agnieszka
A
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000175:diagnosis* / Q000628:therapy; D049590:Postpartum Period; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D055815:Young Adult
D000319:Adrenergic beta-Antagonists