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J Am Coll Cardiol, 2005; 46:331-337, doi:10.1016/j.jacc.2005.03.066 (Published online 5 July 2005).
© 2005 by the American College of Cardiology Foundation
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Developmental Aspects of Long QT Syndrome Type 3 and Brugada Syndrome on the Basis of a Single SCN5A Mutation in Childhood

Gertie C.M. Beaufort-Krol, MD, PhD*, Maarten P. van den Berg, MD, PhD{dagger}, Arthur A.M. Wilde, MD, PhD{ddagger}, J. Peter van Tintelen, MD§, Jan Willem Viersma, MD, PhD{dagger}, Connie R. Bezzina, PhD{ddagger},|| and Margreet Th.E. Bink-Boelkens, MD, PhD*,*

* Beatrix Children’s Hospital, Department of Pediatric Cardiology, Groningen, the Netherlands
{dagger} University Hospital, Department of Cardiology, Groningen, the Netherlands
§ Clinical Genetics, Groningen, the Netherlands
{ddagger} Experimental and Molecular Cardiology Group, Academic Medical Center, Amsterdam, the Netherlands
|| Department of Clinical Genetics, Academic Medical Center, Amsterdam, the Netherlands



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Figure 1 {Delta}QT = QT interval after the longest pause in a Holter recording minus QT of the preceding QRS interval (BA).

 


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Figure 2 (A) QT interval for carriers (solid bars) and non-carriers (open bars) in different age groups. (B) ST-segment elevation. Open bars for 0 to 1 year and solid bars for 1 to 3 years are not visible, because the values are 0.0 ± 0.0 mm. Mean ± SD. *p < 0.05.

 


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Figure 3 Electrocardiogram of a 12-year-old carrier showing ST-segment elevation in the right precordial leads.

 


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Figure 4 Relation between heart rate and QT interval for carriers (solid circles) and non-carriers (open circles) in different age groups. Mean ± SD. *p < 0.05. bpm = beats per minute.

 


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Figure 5 Mean, lowest, and highest values of QTc interval at the lowest heart rate and of {Delta}QT interval in Holter recordings. The dotted lines represent the cut-off values for QTc and {Delta}QT between long QT syndrome type 3 carriers (LQT3+) and non-carriers (LQT3–). *p < 0.05.

 




 
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