Journals / Turkish Journal of Pediatrics / 2019 / Cilt: 61 - Sayı: 5

Congenital long-QT syndrome in type 1 diabetes: a unique association

Pages
791–793
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

By this report, wewant to emphasize the importance of hyperglycaemia in congenital LQTS.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In contrast to acquired long QT syndrome (LQTS), congenital LQTS is arelatively rare channelopathy with an incidence of 1/2,500.
📊
Key Findings & Data:We describe apatient found to have a prolonged QTc in the setting of newly diagnosed Type1 DM.
💡
Conclusion & Impact:By this report, wewant to emphasize the importance of hyperglycaemia in congenital LQTS.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In contrast to acquired long QT syndrome (LQTS), congenital LQTS is arelatively rare channelopathy with an incidence of 1/2,500. We describe apatient found to have a prolonged QTc in the setting of newly diagnosed Type1 DM. To the best of our knowledge, this unique association has not beenpreviously reported. Currently, it is shown that glucose ingestion aggravatedcardiac repolarization disturbances in LQT2 patients and prolonged thecardiac repolarization phase in healthy controls. Our case presented to thehospital with syncope after increased glucose level. Therefore, it seems thatincreased glucose level may have prolonged QTc interval and aggravatedcardiac repolarization disturbances in the presented case. By this report, wewant to emphasize the importance of hyperglycaemia in congenital LQTS.

🔖

Cite This Article

Kurnaz, E., Özgür, S., Keskin, M., Erdeve, Ş. S., Aycan, Z., Çetinkaya, S., Özbudak, P. (2022). Congenital long-QT syndrome in type 1 diabetes: a unique association. Turkish Journal of Pediatrics, Cilt: 61 - Sayı: 5, 791–793. https://ajindex.com/articles/613102

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Saprungruang A, Vithessonthi K, La-Orkhun V, Lertsapcharoen P, Khongphatthanayothin A. Clinical presentation and course of long QT syndrome in Thai children. J Arrhythm 2015; 31: 296-301
  2. Kapplinger JD, Tester DJ, Salisbury BA, et al. Spectrum and prevalence of mutations from the first 2,500 consecutive unrelated patients referred for the FAMILION long QT syndrome genetic test. Heart Rhythm 2009; 6: 1297-1303
  3. Mühlbauer E, Bazwinsky I, Wolgast S, Klemenz A, Peschke E. Circadian changes of ether-a-go-gorelated-gene (Erg) potassium channel transcripts in the rat pancreas and beta-cell. Cell Mol Life Sci 2007; 64: 768-780
  4. Hedley PL, Jørgensen P, Schlamowitz S, et al. The genetic basis of long QT and short QT syndromes: a mutation update. Hum Mutat 2009; 30: 1486-1511
  5. Hyltén-Cavallius L, Iepsen EW, Wewer Albrechtsen NJ, et al. Patients with Long-QT syndrome caused by impaired hERG-encoded K(v)11.1 potassium channel have exaggerated endocrine pancreatic and incretin function associated with reactive hypoglycemia. Circulation 2017; 135: 1705-1719
  6. Shi YQ, Yan M, Liu LR, et al. High glucose represses hERG K+ channel expression through trafficking inhibition. Cell Physiol Biochem 2015; 37: 284-296
  7. Kuppermann N, Park J, Glatter K, Marcin JP, Glaser NS. Prolonged QT interval corrected for heart rate during diabetic ketoacidosis in children. Arch Pediatr Adolesc Med 2008; 162: 544-549
  8. Youssef OI, Farid SM. QTc and QTd in children with type 1 diabetes mellitus during diabetic ketoacidosis. ISRN Pediatr 2012; doi: 10.5402/2012/619107
  9. Zhang Y, Xiao J, Wang H, et al. Restoring depressed HERG K+ channel function as a mechanism for insulin treatment of abnormal QT prolongation and associated arrhythmias in diabetic rabbits. Am J Physiol Heart Circ Physiol 2006; 291: H1446-H1455
  10. Pickham D, Flowers E, Drew BJ. Hyperglycemia is associated with corrected QT prolongation and mortality in acutely ill patients. J Cardiovasc Nurs 2014; 29: 264-270.