A left ventricular noncompaction in a patient with long QT syndrome caused by a KCNQ1 mutation: a case report

Heart Vessels. 2013 Jan;28(1):126-9. doi: 10.1007/s00380-012-0235-8. Epub 2012 Feb 22.

Abstract

A 5-year-old girl developed cardiopulmonary arrest after crying. From the electrocardiogram and echocardiography, a left ventricular noncompaction (LVNC) with long QT syndrome (LQT) was suspected as the cause of the cardiopulmonary arrest, and treatment with a β-blocker and a calcium antagonist was then begun. A genetic screening of LQT-related genes revealed a previously reported heterozygous KCNQ1 mutation. The association of LVNC and LQT is an extremely rare condition, and long-term treatment based on the characteristics of both disorders is required. Also, the association of cardiomyopathy and LQT could become a new clinical entity in the future.

MeSH terms

  • Child, Preschool
  • Echocardiography
  • Electrocardiography
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Isolated Noncompaction of the Ventricular Myocardium / complications
  • Isolated Noncompaction of the Ventricular Myocardium / genetics*
  • Isolated Noncompaction of the Ventricular Myocardium / metabolism
  • KCNQ1 Potassium Channel / genetics*
  • KCNQ1 Potassium Channel / metabolism
  • Long QT Syndrome / complications
  • Long QT Syndrome / genetics*
  • Long QT Syndrome / metabolism
  • Mutation*
  • Pedigree

Substances

  • KCNQ1 Potassium Channel
  • KCNQ1 protein, human