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| ===Medication/Other therapies:=== | | ===Medication/Other therapies:=== |
| *Beta-blockers are the cornerstone of therapy in LQTS. Beta-blockers even reduce the risk of sudden death in patients in whom a genetic defect has been found, but no QT prolongation is visible on the ECG and also in LQTS3 patients with bradycardia-associated cardiac events <cite>congenital</cite> | | *Beta-blockers are the cornerstone of therapy in LQTS. Beta-blockers even reduce the risk of sudden death in patients in whom a genetic defect has been found, but no QT prolon |
| *[[ICD]] implantation in combination with beta-blockers in LQTS patients with previous cardiac arrest, cardiac [[syncope]] or [[ventricular tachycardia]] while on beta-blockers. ICDs should have pacing possibilities, because arrhythmic episodes are bradycardia-associated in LQTS type 3 and since post-shock pacing is relevant in all other LQTS types.
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| *Cardiac sympathetic denervation (LCSD) should be considered in the setting of beta-blocker breakthroughs, intolerance to pharmacotherapy and history of appropriate ICD therapies. Surgically, LCSD involves the resection of the lower two-third of the left stellate ganglion and the left-sided sympathetic chain at the level of T2, T3 and T4.
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| ==References==
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| <biblio>
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| #Schwartz2001 pmid=11136691
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| #priori pmid=12736279
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| #genotype pmid=19926013
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| #moss pmid=17470695
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| #Alders pmid=20301308
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| #probands pmid=22042885
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| #QTc pmid=22083145
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| #LongQT pmid=20116193
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| #Adler pmid=22300664
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| #congenital pmid=15851169
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| #adenosine pmid=16105845
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| </biblio>
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