• question-icon

    How can long QT syndrome be diagnosed?

default
Posted on Tue, 18 Jul 2017 in Hypertension and Heart Disease
Question: Hello!

I find that very many of my symptoms are similar to those who have long qt syndrome. I read on the net that it may be hard to diagnose- so my questiuon is this:
Can they find out if I have this, With ecg, stress ecg and ultrasound that i've done?

PS. My daughter also have same symptoms that I have, so that increases my suspicions.

Oh, and I also have these weird jolts. Which I asked about on here before. I understand that epilepsia can be misdiagnosed too, in fact it can be long qt.
I tried to explain these "jolts" originates in the chest, so perhaps this might be long qt??
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome back on HCM!

Regarding your concern, I would explain that long QT syndrome can be diagnosed with a resting ECG.

As all your performed tests have resulted normal, it means that this diagnosis has been excluded.

Anyway, I would recommend performing an ambulatory 24-48 hours ECG monitoring (Holter) in order to examine your heart rhythm trends,even during those jolts and exclude possible cardiac arrhythmia.

Regarding epilepsy and cardiac arrhythmia, I would explain that these two disorders can be distinguished by performing a 24 hours EEG with ECG leads. This test can register the brain electrical activity and the heart rhythm and distinguish between a seizure and cardiac arrhythmia.

You should discuss with your doctor on the above tests.

Hope to have been helpful!

If you have any other questions, please don't hesitate to ask me again.

Kind regards,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ilir Sharka 14 minutes later
As always, Dr. Sjharka. You are awesome. I am sorry to bother you With all these questions, but the search goes on until I find answers. You are extremely helpfull. You dont understand how helpfull it is to get profesional answers almost immediately.
So yiou can not have long qt time just when having episodes, or at times, it will show up on a ecg if you have them?

Thank yoyu sir.
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
My opinion as following:

Detailed Answer:
Hello again!

I am glad that you find my answers helpful!


Yes, prolonged QT syndrome can be diagnosed with a resting ECG or a Holter monitoring.

You should discuss with your doctor on these tests.

I remain at your disposal whenever you have any other questions!

Wishing good health,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Ilir Sharka 33 minutes later
I was unclear in the last question, sorry:
WILL a qt syndrome be diagnosed by resting ecg or holter?

Or do you have to have an "episode" for it to show, like for example ectopics which are hard to "Catch".
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

Let me explain as follows:

This syndrome usually is detected with a resting ECG. The prolonged QT interval in the ECG could be persistent (when it is since birth), or could be related to certain drugs, which can prolong QT interval in susceptible persons.

In such case these ECG findings persist for some days or weeks (during the occurrence of the symptomatology or complaints) and can be detected even with a resting ECG.

Cardiac arrhythmia can also occur, considering the fact that prolonged QT interval can lead to increased risk for cardiac arrhythmia. In such case the arrhythmia is usually detected in the Holter monitoring, while the prolonged QT interval can be viewed in a simple resting ECG.

Hope to have clarified some of your uncertainties!

Let me know about everything!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7433 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Stress

doctor1 MD

I have a friend that is veteran from the Persian Gulf War. She has been diagnosed with Hashimoto immune disorder with acute pancreatitis, her...

doctor1 MD

I am a 42 year old female with many symptoms, dark patch on my leg, back of the neck area, joint pain, extreme exhaustion, sleep problems, no sex...

doctor1 MD

Yes. I have a yeast infection (@48 it is caused from stress) first time in years, I used mixonazole tablet for day or night. Have had a reaction. (...

doctor1 MD

Hi, i m have recently started taking eglonyl due to severe stress and lack of sleep. My blood was abnormally high so my doctor also prescribed...

doctor1 MD

Hi Doctor, I want to improve my brain performance, so visited Ayurvedic doctor to take the swarna bhasma,i am little obese and having snoring...

doctor1 MD

hi i m facing sleep disturbance since last 8 years i feel too much pressure over and behing myleft ears may be it leads to stress and breaks my...

doctor1 MD

I have low body temperature, and am concerned that my thyroid may be not working optimally. My TSH is 4.13. If I reduce the stress in my life, will...

Get personalised answers from verified doctor in minutes across 80+ specialties

200 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?

backtotop2