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Year : 2013  |  Volume : 20  |  Issue : 3  |  Page : 237-240

Congenital long-QT Syndrome in a Nigerian child: A Case Report

1 Department of Paediatrics, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria
2 " Department of Paediatrics, National Hospital, Abuja, Nigeria

Correspondence Address:
Dr. R Onalo
Department of Paediatrics, University of Abuja Teaching Hospital, Gwagwalada, Abuja
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Source of Support: None, Conflict of Interest: None

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Case report : We describe the clinical manifestation and the challenges of diagnosing Long QT syndrome, type 1 (LQTS1), in an 8-year old girl who presented at the Paediatric Cardiology Clinic with syncopal attacks following dancing and excitement. Her initial ECG showed normal QT interval of 380msec (QTc = 440 msec), but later, increased to 410 msec (QTc = 520 msec) following epinephrine challenge test. Conclusion : The challenges with the diagnosis of LQTS1 in children in resource- constrained setting and the need for vigilance in children with syncopal attacks and other cardiac events with normal QT intervals on an electrocardiogram are thus highlighted.

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