Short QT syndrome, familial

[MIM 609 620, 609 621, 609 622]

Very rare. Autosomal dominant transmission of a mutation in one of the KCNQ1 and KCNH2, KCNJ2 genes coding for cardiac potassium channels. Association of an ECG where QT is short (QT and QTc < 320 msec) with a significant risk of syncope or sudden death on ventricular arrhythmia. Occurs mainly in children and young adults. Frequent early atrial fibrillation (around the age of 40 years).


Type of short QT

gene


locus

protein

SQT1

KCNH2

7q36

K+ channel, HERG subunit

SQT2

KCNQ1

11p15.5

K+ channel, KvLQT1 subunit

SQT3

KCNJ2

17q24

K+ Kir2.1 channel


Treatment: automatic implanted defibrillator


Anesthetic implications 

presence of an automatic implanted defibrillator.


References : 


Updated: March 2016