title: [Long QT syndrome in the postpartum period].
abstract: 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.
authors: Oddział Chorób Wewnetrznych, Szpital Specjalistyczny, Gorlice. kukla_piotr@poczta.onet.pl
authors: Piotr
authors: P
authors: Kukla
authors: Artur
authors: A
authors: Filipecki
authors: Marek
authors: M
authors: Jastrzebski
authors: Andrzej
authors: A
authors: Plato
authors: Monika
authors: M
authors: Kukla
authors: Barbara
authors: B
authors: Malarczyk-Zaher
authors: Mariusz
authors: M
authors: Janowski
authors: Agnieszka
authors: A
authors: Zienciuk
mesh_terms: 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
chemical_list: D000319:Adrenergic beta-Antagonists