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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
After the sudden death of a 13-year-old girl while she was playing basketball, her family comes to the clinic for medical evaluation (Figure 1). Her parents' resting electrocardiograms (ECGs) are normal, but her 9-year-old sister's ECG shows an abnormally long QT interval. There is a history of recurrent syncope in female relatives of the maternal grandmother, but there is no
The Clinical Problem
Strategies and Evidence
Diagnosis
Genetic Testing
Risk Stratification
Therapy
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Departments of Medicine and Pharmacology, Vanderbilt University School of Medicine, Nashville.
Address reprint requests to Dr. Roden at the Departments of Medicine and Pharmacology, Oates Institute for Experimental Therapeutics, Vanderbilt University School of Medicine, 1285 Medical Research Building IV, Nashville, TN 37232-0575, or at dan.roden@vanderbilt.edu.
Related Letters:
Long-QT Syndrome
Marijon E., Combes N., Albenque J. P., Kapoor J. R., Roden D. M.
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N Engl J Med 2008;
358:1967-1968, May 1, 2008.
Correspondence
This article has been cited by other articles:
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