Supraventricular tachyarrhythmia and sinus node dysfunction as a first manifestation of short QT syndrome in a pediatric patient. Case Report

J Electrocardiol. 2022 Sep-Oct:74:146-153. doi: 10.1016/j.jelectrocard.2022.08.010. Epub 2022 Sep 8.

Abstract

Short QT syndrome (SQTS) represents a diagnosis challenge where the symptoms may vary from palpitations in an otherwise asymptomatic patient to sudden death. Is a recently discovered rare channelopathy, identified by Gussak in 2000, characterized by short QT intervals on the electrocardiogram and a tendency to develop atrial and ventricular arrhythmias in the absence of structural heart disease, hyperkalemia, hypercalcemia, hyperthermia, acidosis and endocrine disorders. We present the case of a 16-year-old patient with short QT-type channelopathy, who presented with sinus arrest and junctional rhythm, who later developed atrial tachycardia and atrial flutter.

Keywords: Atrial flutter; Atrial tachycardia; Channelopathy; Short QT syndrome; Supraventricular tachycardia.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Child
  • Electrocardiography*
  • Humans
  • Sick Sinus Syndrome* / complications
  • Sick Sinus Syndrome* / diagnosis

Supplementary concepts

  • Short Qt Syndrome