A 23-year-old medical student presents with recurrent episodes of syncope. Events are sudden without prodrome and occur while sitting. ECG in clinic s...

Question

A 23-year-old medical student presents with recurrent episodes of syncope. Events are sudden without prodrome and occur while sitting. ECG in clinic shows a prolonged QT interval. There is a family history of sudden cardiac death in a cousin aged 19 years. Which is the most appropriate next step in management?

Accepted Answer

Refer urgently to cardiology for assessment of possible inherited arrhythmia

Answer

Reassure and advise hydration only

Answer

Arrange tilt-table testing for suspected vasovagal syncope

Answer

Start beta blocker and discharge without further investigation

Answer

Diagnose panic attacks and commence an SSRI

au-amc MCQ (SBA): Inherited arrhythmia (long QT syndrome)