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What is In a patient with history of recurrent syncope, Holter recording shows QT interval of 680msec. Which disease is suspected in this patient? and explain in detail?
Normal QT interval= 360-440 msec. Option A: QT interval prolonged- predisposes to Torsades de Pointes , so Dx of this is Long QT syndrome. Option B: Channel defect (SCN5A defect) in hea-->depolarization is defective -->defective development of voltage gradient leads to arrhythmia which result in Brugada syndrome. Option C: ARVD is fibrofatty deposition in RV epicardium & in ECG presence of Epsilon wave Option D: Lev's disease characterized by fibrosis in conduction system, so will result in Bradyarrhythmia.