Long QT syndrome (LQTS) is a hereditary cardiac disease characterized by a prolongation of the QT interval at basal ECG and by a high risk of life-threatening arrhythmias. It can be caused by mutations in several cardiac ion channel genes. There are eight types of LQT syndrome based on the gene in which causative mutations occur. The most prevalent forms are LQT1, LQT2, and LQT3. Half of individuals with LQT2 remain asymptomatic until the age of 16. Symptoms are triggered by a variety of causes including emotions, auditory experience, and exercise. Furthermore, some cases may occur during rest and sleep.
The diagnosis of LQT2 is based on electrocardiogram (ECG) abnormalities; notched T waves are most commonly seen in this type. Patients with LQT2 have symptom relief from beta-blocker therapy. Symptoms can also be improved in patients who maintain their potassium levels and modify their lifestyles. Treatment with potassium may be recommended.