QTc borderline

[Thelonious]

This is my first post my husband has been diagnosed with PAF and has been put on a low dose of Propafenone & Spironolactone. Had an ecg after a week of taking the meds and his QTc is borderline 479, due to have urgent 24 hour tape with serial QTc analysis and repeat ecg . Has been AF free since taking the meds. He is seeing a cardiologist who specialises in AF so is in good hands. Anybody experienced something similar?

[CDreamer]

I’m not sure I understand the question?

There are various QT complications - I’m not sure what QTc borderline means? I have a QT complication with AF which is why I have a triple lead pacemaker in preparation for Pace & Ablate.

[Thelonious in reply to CDreamer]

Cdreamer we are not sure either we think the QTc is because of the propafenone medication but will be better informed when we get the 24hour tape and ecg done. It’s all new to us and thank you for your reply.

[Ppiman]

I’d read this report before and found it interesting:

ncbi.nlm.nih.gov/pmc/articl...

The “borderline” QT interval region seems to be where doctors cannot be sure there are any implications, but still feel that the need to take care.

Steve

[Thelonious in reply to Ppiman]

Thank you Ppiman read the article understand a very small proportion of it and hope we will be given more information on this condition when we see the cardiologist. We are hoping it’s the medication causing it, in which case it can be changed. We will wait and see.

[Finvola]

Hello and welcome to the forum.

My layman’s understanding is that anti-arrythmic drugs such as Flecainide and Propafenone can cause lengthening of the QT interval in the heartbeat which in severe circumstances is cause for concern. QTc is the reading corrected for the patient’s heart rate.

My own QTc has been slightly abnormal since I started Flecainide over 5 years ago but my cardiologist is content because it has not changed and is acceptable.

Good that Propafenone is working and that your husband is being well cared for.

[Thelonious in reply to Finvola]

Finvola thank you for welcoming me to the forum and thanks for your reply which is very informative. My husbands cardiologist thinks his QTc may or may not be a consistent finding hence the 24 hour monitor which is being fitted on Thursday and then ecg. Fingers crossed all goes well.