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  #1  
Old 10-28-2011
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Question 9 yr old with syncopal episodes

a 9 yr old boy is being evaluated for a syncopal episode. he was playing basketball when the syncope occurred. the episode lasted about 1 - 2 minutes, and then the patient woke up on his own. his mother also noticed that he has been having hearing problems. his physical examination is unremarkable. an ECG shows QT prolongation with a QTc of 0.49 sec. which of the following is the most appropriate management if he has long QT syndrome?

a. alpha adrenergic blocker
b. ACE inhibitor
c. beta adrenergic blocker
d. Calcium channel blocker
e. diuretic
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Old 10-28-2011
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c. beta adrenergic blocker!
Propranolol and nadolol a most frequently used.
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Old 10-28-2011
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C.b-blocker

Akua
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Old 10-28-2011
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beta blocker
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Old 10-28-2011
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C. Beta adrenergic blockade.They work by reducing adrenergic function therefore reduces the risk of arrythymia n also shortens the QT duration.We must also avoid drugs that prolong the QT interval or also look to correct Hypokalemia n Hypomagnesemia...
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Old 10-28-2011
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yes beta blocker. you r all right
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