Differential Diagnosis? Long QT Syndrome?
I was hospitalized last year for an accident overdose (I took the wrong pills). After a few shots, a bunch of tests etc, I was released about 12 hours later. Since then, I've had panic attacks a lot. I was reading my original report, and it said Differential Diagnosis: Long QT Syndrome. What is that? What does differential diagnosis mean? I've had EKG's since then (panic attacks mistaken for heart attacks) and my EKG's come back sinus tachcardia.
I take Zoloft... I accidentally overdosed on lexapro thinking it was asprin for the original hospitalization.
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Sound like Long QT Syndrome?
I have very frequent heart palpitations, girlfriend even felt it when cuddling with me (skipped/ abnormal heart beats), I am often dizzy, I've had episodes of syncope in earlier life, I get extremely dizzy/ light-headed while exercising... I had a holter monitor twice and my doctor said that there were some palpitations but nothing too alarming... I was not instructed to exercise while wearing the holster monitor? Could his diagnosis be wrongfully presumed? Long QT syndrome likely??
The link you provided leads to two videos... and both videos lead to a video game video... that's all the content in the link regarding the issue.... anyone else?.....
Read on many MD articles that it can often be missed unless you're exercising with the holter monitor on? I guess so, I get dizzy often and get frequent palpitations and super light-headed when exercising... plus all the vein problems i have (bilateral varicocele and hemorrhoids) makes me think something isn't working correctly... But idk : /
I had an ECG at one point. It came back normal I guess. Embolization is more for post-operative patients (ones who have already undergone a varicocelectomy and had a recurrence).. I just have a fear of anesthetics with my frequent heart palpitations and previous syncope episodes.. (the anesthetic worry for varicocele surgery is actually what spiked the worry, although it had crossed my mind once before too)...
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What you describe could be attributed to long QT syndrome but there are other conditions that need to be ruled out first. Has any one in your family been diagnosed with this? What have your ECGs looked like? You won't see a prolonged QT on ECHO, this is an electrical problem, not a structural one.
Do you take any antibiotics, antidepressants, antihistamines, diuretics, cholesterol-lowering drugs, diabetes med, antifungals or antipsychotics?
You might wish to ask about event monitoring. This is like a Holter but you wear it for weeks or even months. And ask about a nonexercise (medication) stress test. You're given epinephrine (adrenaline). In this stress test, you doctor monitors the effects of the adrenaline on the way your heart recharges. This test can unmask in some people what's known as concealed long QT syndrome, which is a normal Q-T interval (recharging time) at rest, although they still have the syndrome. In some people with long QT syndrome, fainting spells are triggered by sudden bursts of adrenaline in the body, such as are experienced during intense exercise or emotional upset. Has this been your experience up until now? Other possible tests include an EEG and genetic testing. There are 2 forms of inherited long QT syndrome -- Romano-Ward and Jervell and Lange-Nielsen. I doubt you'd have JLN. But Romano-Ward is the more common and you need only inherit one, single gene variant from one parent. It's a thought, anyway. I don't believe the varicoceles and hemorrhoids have any bearing whatsoever on this. What "all the vein problems"?? These aren't that serious! Jeez, get the varicoceles embolized and use Prep H on the hemorrhoids, improve your diet and fluid intake.
On second thought, I just may agree with Queryman, the Internist. You didn't mention an ECG and that's the first thing that would have been done. (
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is cymbalta safe for people with long qt syndrome?
I didn't find anything to indicate that it wasn't safe. Make sure to check with your doctor. I did find this inforamtion I hope it helps. See the web site listed below. (
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I was recently told i have either Long QT syndrome or low blood pressure. Any info, and is it safe to FLY?
is air travel safe with heart dicisions? any info will help
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Who told you that? Let's hope it wasn't a physician, because LQTS requires medical supervision. It can be fatal. (A good friend of mine has it.)
It's easy to find out if you have low blood pressure--just get it measured. Some drugstores have places where you can have it done. People with low blood pressure usually know it, because they get light-headed or pass out.
http://www.mayoclinic.com/health/low-blood-pressure/DS00590/DSECTION=1
LQTS is harder to diagnose. It is a genetic disorder that causes irregular heartbeat. Some drugs can cause it, too.
http://www.mayoclinic.com/health/long-qt-syndrome/DS00434
I have low blood pressure and I fly. My friend with LQTS flies, but she also takes drugs and has an implanted pacemaker/defibrillator.
Yahoo Answers isn't the place for concerns like this. The first symptom of LQTS can be sudden death. You should be talking to a doctor. (
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My friend told me that I might have Long QT syndrome based on my symtoms and I don't know that much about it?
Long QT syndrome (LQTS) is a heart rhythm disorder that can potentially cause fast, chaotic heartbeats. The rapid heartbeats, caused by changes in the part of your heart that causes it to beat, may lead to fainting. In some cases, your heart's rhythm may beat so erratically that it can cause sudden death.
You can be born with a genetic mutation that puts you at risk of long QT syndrome. In addition, more than 50 medications, many of them common, may cause long QT syndrome. Medical conditions, such as congenital heart defects, also may cause long QT syndrome.
Long QT syndrome is treatable. You may need to limit your physical activity, avoid certain medications that can cause the condition or take medications to prevent a chaotic heart rhythm (arrhythmia). Some people with long QT syndrome also need an implantable device to control the heart's rhythm and to prevent against sudden death.
This is cute and pasted from the Mayo Clinic. Long story short if you have it then it needs to be treated as it can lead to fatal arrhythmias.
http://www.mayoclinic.com/health/long-qt-syndrome/DS00434 (
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Long QT ............?
There is something that has been in my head that has been bothering me for a few years now.
At the age of 19 I started feeling very dizzy and weak and went to A&E the doctor did an ECG on me and said I see you have a long qt i want to do tests on you.
I stayed in for a few days and had a 24 hour monitor on me. Then the doctor came in and said your heart was fine. You have panic attacks go home. I felt very weak for ages ... like really weak and out of it and generally unwell.
I'm now 22 and feel a lot better although I do have the odd moment where i feel like my heart is skipping a beat.
I've been to several doctors and mentioned what the doctor said that night about the long QT and they said they looked over my ECG's and saw nothing. It really scares me because the doctor was asking me if anyone else in my family had died young etc...
I wouldn't be worried if i didn't feel so weak all the time but the doctors say its anxiety. SHould I be worried?
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Occasional PVC's, normal QT interval. Not to worry but you could get a 24 hour Holter moniter. (
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Where can I find statistics about giving birth while having long qt syndrome? Like the death rate, etc...?
Long Q-T syndrome is an infrequent, hereditary disorder of the heart's electrical rhythm that can occur in otherwise-healthy people. It usually affects children or young adults.
When the heart contracts, it emits an electrical signal. This signal can be recorded on an electrocardiogram (ECG or EKG) and produces a characteristic waveform. The different parts of this waveform are designated by letters -- P, Q, R, S and T. The Q-T interval represents the time for electrical activation and inactivation of the ventricles, the heart's lower chambers. A doctor can measure the time it takes for the Q-T interval to occur (in fractions of a second), and can tell if it occurs in a normal amount of time. If it takes longer than normal, it's called a prolonged Q-T interval.
Sexual intercourse doesn't appear to pose an increased risk for people with long QT syndrome. Pregnancy and delivery aren't associated with increased risk of symptoms in women with long QT syndrome. Nonetheless, your doctor will want to monitor you closely both during your pregnancy and after if you have inherited long QT syndrome. Women with long QT syndrome are at increased risk during the postpartum period and should be monitored carefully.
In all cases of uncertainty or doubt you should seek medical advice.
Hope this helps
Matador 89 (
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is there a cure for long qt syndrome?
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support group for Long-QT Syndrome?
I have just told I have LongQT, I drop dead on April 1 of this year and was in a coma for a while. Now I have a pacemaker/defib. in my chest to help protect me me from sudden death. I was just wondering was there other people like me out there.
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Try and relax you are in good hands now with the pacemaker/defib. Looks to me like the doctor could have found this problem before you had to go through all of that.
God Bless and try to relax! (
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Long QT syndrome causes?
need some background info on this condition.
my 20 year old brother was diagnosed with it this past week after being found in full cardiac arrest inside his apt last saturday (his heart stopped again in the ambulance on the way to the hospital).
they found methadone in his system too (do NOT judge please-stories have come out that his on and off again gf might have drugged him w/out his knowledge to take his money).
my question is-would the drugs he had in his system soley cause this condition or is it something he already had and the drugs made it worse?
they put a defribillator in him yesterday.
thanks!!!
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If they felt that the methadone had caused his cardiac arrhythmia, they would not put in the defibrillator, they would of waited for the drugs to clear his system and observed him. He must of demonstrated while he was in hospital that he had a prolonged QT interval and had a cardiac arrhymia associated with it. There are several reasons why the QT was prolonged and perhaps your brothers rreason(s) where discovered while he was in hospital. I don't think the drugs had anything to do with his cardiac arrest, unless he had taken them and perhaps stopped breathing. He's only 20, and he is allowed to make mistakes as we all do from time to time. You should be evaluated in case this problem is hereditary also. (
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