Congenital long-QT syndrome concealed by hypercalcemia in Williams Syndrome

J Cardiovasc Electrophysiol. 2008 Dec;19(12):1322-4. doi: 10.1111/j.1540-8167.2008.01263.x. Epub 2008 Jul 25.

Abstract

We report a case of gene-positive long-QT syndrome (KCNH2) in a patient with concomitant Williams Syndrome. The hypercalcemia that developed in association with Williams Syndrome pseudo-normalized the QTc interval on surface ECG, concealing the clinical and electrocardiographic manifestations of the disease. Initiation of medical therapy for hypercalcemia unmasked the prolonged QT interval, allowing for the diagnosis of long-QT syndrome to be made.

MeSH terms

  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Female
  • Humans
  • Hypercalcemia / congenital*
  • Hypercalcemia / diagnosis*
  • Infant
  • Infant, Newborn
  • Long QT Syndrome / congenital*
  • Long QT Syndrome / diagnosis*
  • Williams Syndrome / complications*
  • Williams Syndrome / diagnosis*