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- Katsumi Kojima, Koichi Kato, Yusuke Fujii, Yusuke Okuyama, Seiko Ohno, Tomoya Ozawa, Minoru Horie, and Yoshihisa Nakagawa.
- Department of Cardiovascular Medicine, Shiga University of Medical Science, Japan.
- Intern. Med. 2022 Apr 15; 61 (8): 117911821179-1182.
AbstractWe herein report a 14-year-old boy with repetitive nocturnal syncope related to medication-refractory long QT syndrome (LQTS). Although the use of an implantable cardioverter-defibrillator (ICD) was inevitable to prevent sudden cardiac death, he refused immediate implantation in order to play in a baseball competition six weeks away. Given his genetic diagnosis of type 2 LQTS, which is associated with cardiac events unrelated to exercise, we prescribed a wearable cardioverter defibrillator (WCD) to be donned at night, without limiting his exercise participation. An ICD was implanted after the competition. We successfully performed the preplanned treatment while maximizing the patient's quality-of-life with a WCD and genotype-specific risk stratification.
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