“Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review

ABSTRACT Congenital long QT syndrome (LQTS) is a genetic disorder causing prolonged QT intervals and an increased risk of arrhythmias and sudden cardiac death. With 25% of cases lacking known genetic mutations, diagnosis and treatment can be challenging. We present a successfully managed case of lat...

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Published in:Clinical Case Reports
Main Authors: Clement Tan, Vaikunthan Thanabalasingam, Chaminda Sella Kapu, Zhihua Zhang
Format: Article
Language:English
Published: Wiley 2025-02-01
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70201
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author Clement Tan
Vaikunthan Thanabalasingam
Chaminda Sella Kapu
Zhihua Zhang
author_facet Clement Tan
Vaikunthan Thanabalasingam
Chaminda Sella Kapu
Zhihua Zhang
author_sort Clement Tan
collection DOAJ
container_title Clinical Case Reports
description ABSTRACT Congenital long QT syndrome (LQTS) is a genetic disorder causing prolonged QT intervals and an increased risk of arrhythmias and sudden cardiac death. With 25% of cases lacking known genetic mutations, diagnosis and treatment can be challenging. We present a successfully managed case of late‐onset genotype‐negative phenotype‐positive LQTS presenting as palpitations, complicated by a single event of polymorphic ventricular tachycardia, followed by a review of the literature. This case underscores the gaps in understanding congenital long QT syndrome, especially in genotype‐negative cases, and highlights the need for ongoing research for risk assessment and effective management to prevent fatal cardiac events.
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spelling doaj-art-103f0b0dd21d4e0e9d75b4e23ddc2dca2025-08-20T02:15:51ZengWileyClinical Case Reports2050-09042025-02-01132n/an/a10.1002/ccr3.70201“Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and ReviewClement Tan0Vaikunthan Thanabalasingam1Chaminda Sella Kapu2Zhihua Zhang3Department of Cardiology, Coronary Care Unit & Cardiac Catheterisation Laboratory Mackay Base Hospital Mackay Queensland AustraliaDepartment of Cardiology, Coronary Care Unit & Cardiac Catheterisation Laboratory Mackay Base Hospital Mackay Queensland AustraliaDepartment of Cardiology, Coronary Care Unit & Cardiac Catheterisation Laboratory Mackay Base Hospital Mackay Queensland AustraliaDepartment of Cardiology, Coronary Care Unit & Cardiac Catheterisation Laboratory Mackay Base Hospital Mackay Queensland AustraliaABSTRACT Congenital long QT syndrome (LQTS) is a genetic disorder causing prolonged QT intervals and an increased risk of arrhythmias and sudden cardiac death. With 25% of cases lacking known genetic mutations, diagnosis and treatment can be challenging. We present a successfully managed case of late‐onset genotype‐negative phenotype‐positive LQTS presenting as palpitations, complicated by a single event of polymorphic ventricular tachycardia, followed by a review of the literature. This case underscores the gaps in understanding congenital long QT syndrome, especially in genotype‐negative cases, and highlights the need for ongoing research for risk assessment and effective management to prevent fatal cardiac events.https://doi.org/10.1002/ccr3.70201congenitalgenotypegenotype negativeimplanted cardiac defibrillatorlate onsetlong QT syndrome
spellingShingle Clement Tan
Vaikunthan Thanabalasingam
Chaminda Sella Kapu
Zhihua Zhang
“Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
congenital
genotype
genotype negative
implanted cardiac defibrillator
late onset
long QT syndrome
title “Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
title_full “Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
title_fullStr “Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
title_full_unstemmed “Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
title_short “Better Late Than Never”—Late‐Onset Genotype‐Negative Congenital Long QT Syndrome: Case Report and Review
title_sort better late than never late onset genotype negative congenital long qt syndrome case report and review
topic congenital
genotype
genotype negative
implanted cardiac defibrillator
late onset
long QT syndrome
url https://doi.org/10.1002/ccr3.70201
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AT chamindasellakapu betterlatethanneverlateonsetgenotypenegativecongenitallongqtsyndromecasereportandreview
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