Short QTC

[hearty1]

I have short QTC reading on ECG monitor. Has anyone else had this?

[Snowdrops_17]

Did you ever had that before during a previous ECG???? 💗 If not I certainly would ask my doctor and find out.

If your QTc is an inherited heart rhythm problem then I definitely recommend you to seek medical advice from your GP asap. Look up long QTc Syndrome on the NHS website.....please!!!

[hearty1 in reply to Snowdrops_17]

Thank you for your reply.

I was diagnosed with Coronary Heart Disease, atrial fibrillation, leaking mitral valve in 2017. As things haven't settled on a lot of medication I was supposed to have angiogram last month but it was cancelled. I have been given a heart mate hand held ecg monitor and its showing I have short QTc. I don't know why. This has never been mentioned although Doc did say I had a T wave abnormality. I haven't looked at long QTc yet.

[Charlpalp]

I’ve had this on my ecg they said it was only a problem if there is sudden death in the family history x

[Snowdrops_17 in reply to Charlpalp]

My Mum dropped dead age 68,

Abs before my heart attack last year, I have experienced palpitations but not regularly. But I went for an interview in 2007 and had to wait in a stuffy hot reception, had palpitations and fainted.

2 men looked down on me and asked "Are you alright"? I said I am but felt dazed to be honest. Scary experience 🥺

I was glad to get out of that place.

Secondly what employers would commence a job interview At 12 pm lunchtime, when temperatures are above 30°C? Found that irresponsible.

Not surprised really that I ended up sorry. Felt stressed as well as was desperately trying to get another job....

[hearty1 in reply to Snowdrops_17]

That's terrible, frightening. Hope you're feeling a bit better now.

[Snowdrops_17 in reply to hearty1]

Yes I am, thanks. It was 15 months ago. Been to work for at a year and now furloughed due to the Pandemic. But been working since November 2017 for this Restaurant Chain x

[hearty1 in reply to Charlpalp]

Thank you for your reply. That's reassuring to know. I had never heard of QTc before.

[Palpman]

SQTS is extremely rare and no specialist can say you have it as there is no value set that determines it.

Normal QT is between 360 and 450 ms.

LQTS is above 480 AND if your points are above the Schwartz LQTS table cutoff of 2.5.

SQTS would be less than 340ms with a points based system to add to it. This has not yet been calculated due to lack of interest and patients with it.

I would be interested to know just how short your interval is and what medication you are on for it.

My guess would be flecainide with an antidepressant such as sertraline or fluoxetine.

[hearty1]

Thank you for your detailed reply. I have only discovered the short qtc on the heart mate handheld ecg monitor I was given a few days ago for my birthday. It doesn't give any numbers only just says short qtc which I've never heard of.

The heart meds I'm taking for coronary heart disease, atrial fibrillation are: Amlodipine Besylate, Apixaban, Bisoprolol Fumarate, Isosorbide Mononitrate, Simvastatin. I don't take antidepressants. I was just wondering if there is anything that could be done or another medication that would help. I find getting up from bending down is very difficult as I'm out of breath and my legs feel weak.

[Palpman]

QT can only be measured on a 12 lead ECG. The HeartMate will not give an accurate diagnosis. I suggest you go to your GP for a 12 lead ECG.

None of your tablets have any affect on the QT duration according to the LQTS and TdP website CredibleMeds.

I have ectopic beats and take Flecainide for SVT. I get very breathless if working while bending over. Walking on the flat is fine and hardly any breathlessness or palpitations. Getting up from bending down feels like a hand is lightly holding my heart and stopping it from expanding altogether. Heart rate is normal but I feel dizzy and breathless.

I presume my ventricles are beating normally as per my pulse but my atrials are fibrillating and thereby not letting enough blood into the ventricles. I cannot feel the atrials fibrillating though.

[hearty1]

Thank you Palpman, oh right I didn't know that a 12 lead ecg would be required. I did have an ecg in 2017 at the hospital when I was diagnosed but there was no mention of short qtc. So perhaps I don't have that problem.

Yes same with me I'm ok walking on flat surfaces but breathless walking on a slope.

I hope you're keeping as well as you can. Have a good weekend.