Clinical Characteristics in Common Genotypes of Congenital Long QT Syndrome
Characteristic | LQT1 | LQT2 | LQT3 |
---|---|---|---|
Gene muted | KCNQ1 (=KvLQT1) | KCNH2 (=HERG) | SCN5A |
Current affected | IKs | IKr | INa |
Events occurring with emotional stress | Strong association | Moderate association | Weak association |
Events occurring with exercise | Strong association | Weak association | Weak association |
Other triggers | Diving | Loud noise | Sleep |
Rest | Rest | ||
Events before the age of 10 (%) | 40 | 16 | 2 |
Events before the age of 40 (%) | 63 | 46 | 18 |
Median age at first event (years) | 9 | 12 | 16 |
Efficacy of β-blockade to prevent events | Strong association | Moderate association | Weak association |
LQT, long QT subtype; IKs, slowly activating potassium-delayed rectifier; IKr, rapidly activating potassium-delayed rectifier; INa, cardiac voltage-dependent sodium channel.