A case of long QT syndrome: challenges on a bumpy road

Key Clinical Message Beta‐agonist treatment during pregnancy may unmask the diagnosis of long QT syndrome. The QT prolongation can result in functional AV block. A history of seizure and/or sudden death in a family member should raise suspicion of ventricular tachycardia. More than one mutation may coexist. Refusal of beta‐blocker therapy complicates risk stratification. Beta‐agonist treatment during pregnancy may unmask the diagnosis of Long QT syndrome. The QT prolongation can result in functional AV block. A history of seizure and/or sudden death in a family member should raise suspicion of ventricular tachycardia. More than one mutation may coexist. Refusal of beta‐blocker therapy complicates risk stratification.