Zofran and long qt
Common Questions and Answers about Zofran and long qt
zofran
I just say my cardiologist, he lowered my beta blocker dose and i already feel better. He believes i do NOT have long QT and the reason i had long QT intervals while in the hospital was because i was on so many drugs (i was in an induced coma, and enough drugs were in me to sedate my entire family (5 people). He told me that if it was him in that situation, his QT interval would have been elongated as well.
I have had my Primary care physcian consult a cardiologist and preformed a holter and echo-both normal and they are not concerned about Long QT. My ER doctor was not concerned about Long QT as his assumption was that it was cause by low potassium.
I had even sent my EKGs to a arrythmia specialist at Mayo Clinic in Rochester to see if they thought I needed an appointment and they did not feel I needed an appointment given I have no family history of fainting or sudden death.
I am suffering from depression but I have Long Qt and am obese , diabetic and have svt's my GP has been unable to find any medication that is suitable - do you have any suggestions?
Spicy foods and foods that cause acid reflux. Becoming dehydrated and over extending self working out. and stress and anxiety. Many people have PVCs daily some a lot more than you are experiencing so they can be lived with. PVCs can be very scary but they are generally benign in an otherwise healthy heart. I would suspect if you stay heart healthy you need not worry even with long qt but in life there are no guarantees.
Your QT time will change all the time, it depends on a lot of things; heart rate, what you eat, activity, stress, medications, etc. One EKG showing borderline prolonged QT is NOT diagnostic of long QT. Also, a cardiologist must interpret your EKG, as the machines often are wrong, and prolonged QT will also usually manifest with specific changes in the T wave too.
There are two variants of long QT.
I ended up getting the genetic test done.. it came back negative, and the doctor says my qt values are fine, so I don't believe that I have long qt. I saw Dr. Spencer Rosero in Rochester, NY who is a specialist in long qt. When he measured my qts by hand, the highest he found is 440 for qtc. He was sure I didn't have it and he has never been wrong. Nevertheless, I ended up getting the genetic test.. low and behold it turned out negative!
After going to the EL for dehydration the Dr gave me Zofran and Raglan. Combined those 2 helped alot. Before that I tried eating small frequent meals but bread is what really helped me. I tried lemonade ginger tea ginger ale ice chips preggie pops nothing took away the nausea and vomiting but I learned if I did eat frequently then I would throw up bile and dry heave which drained the life out of me more than vomiting food. I hope it goes away soon for you.
Hi - I have some questions about long QT syndrome. I've recently had 3 EKGs because of palpitations and a fast heartbeat. I've asked the doctor who did them about long QT and each time he said there was nothing showing I had it. My QT/QTc was 350/418 on the first one I believe, on the second 362/425 and on the third 358/440. Heartbeat was 86, 83 and 91 respectively. The last one is the one that got me worried, because apparently 440 is the limit for normal.
I understand that anything above 430-440ms is borderline and possibly indicative of long qt syndrome. So, I was just wondering regarding long qt syndrome, if it is what I have and it is a gene inheritance deal is sleeping a trigger of symptoms and problems for people with LQT1 and LQT2, or is that just with the rarer LQT3.? I tend to think I might have LQT1 because I am deaf in one ear.
My internal medicine doctor of 12 years wants me to see a cardiologist. But it is soooooo rare to diagnose Long QT on ECG. I have had an episode of documented Long QT on ECG when I was hypokalemic (low potassium).
After exhaustive research on internet, I found that the genetic blood test for Long QT Syndrome only identifies 70% of Long QT cases. So you have a 30% chance of getting a negative test and still have the syndrome. The test is $5,000 for one person.
Hello,
Last sunday my 12 year old daughter stood up quickly from the couch and fainted without warning. This had never happened before. She came to almost immediately and said she felt fine. Just prior to fainting she had been sleeping for about 12 hours and also had had nothing to eat or drink for close to 14 hours.
When we took her to the ER they found that her QT was 459. The next day the EKG was repeated and was 441.
I did notice on my last ekg that there was several downward spikes, i know this probably has nothing to do with long qt but does anyone know what the downward spikes mean? I am simply just paranoid and curious about this condition. I also read about antibiotics and other meda causing it. How do I know what antibiotics are safe and if I should take them?
s laterand I still felt awful bp would drop heart rate felt either pounding or slow but I plodded on went back to university and so on
Fast forward to last month, my dad told me that his sons from a previous marriage had children who had an event at school and the doctor decided to test her for long qt which she has.
If this is not happening to you then you need to resolve this with your cardiologist and psychiatrist as long qt syndrome is serious business. Did you get diagnosed with long qt while on the drugs or after you stopped taking them? Because if the long qt is resolved it could be simple anxiety making you weak and dizzy. Well it sounds like you are on top of the situation. Take care, I hope you get this all worked out.
At this stage, at the current level of QT, I would suggest it is wise just stop zoloft for few days, let’s say a week, and recheck QT. If it normalizes, and especially if it gets prolonged on reintroduction, then it proves the causal hypothesis. You will need to stop and avoid zoloft and preferably all SSRIs if possible.
As of now you have very low risk of torsades de pointes and need not worry much unless you develop some symptoms.
In regards to shortening the QT, Flecainide has been shown to shorten the QTc in Type 3 long QT syndrome though not in the other types of long QT. Flecainide can actually lengthen to QT some patients. I would recommend that you discuss these questions with your electrophysiologist. I hope this helps.
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