PROLONGED QT SEGMENT ON ECG

[QT >50% OF RR INTERVAL]

cardiovascular disease:

ischaemic heart disease

rheumatic carditis

pulmonary embolism

mitral valve prolapse

metabolic / endocrine disease:

hypocalcaemia

hypokalaemia (equivocal)

hypomagnesaemia

hypothyroidism

hypothermia [+ J waves]

liquid protein diets

anorexia nervosa

heredo-familial syndromes:

Jervell-Lange-Nielson syndrome [+ deafness]

Romano-Ward syndrome

congenital prolonged QT interval (isolated)

drugs (with class III anti-arrhythmic activity):

amiodarone (III)

sotalol (III)

bretylium (III)

bepridil

prenylamine

erythromycin

disopyramide (IA)

procainamide (IA)

tricyclics

phenothiazines

quinidine

other:

raised intracranial pressure

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