Yu de wɔri bɔt aw yu at de rit? Lɛ wi lan bɔt Short QT Syndrome (SQTS)!

Sɔntɛnde, yu kin fil lɛk se yu ed de tɔn ɔ yu nɔ gɛt bɛtɛ ed? Ɔ pɔsin we yu sabi dɔn gɛt at atak wantɛm wantɛm? Sɔmtɛm de tin wae kin kam wit dɛn tin ya kin bi wan kayn sik wae nɔr kin bɔrku pan jɛnɛtiks wae wi nɔr kin yɛri bɔrku bɔt. Wan pan dɛn kayn tin ya na Short QT Syndrome, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, Short QT Syndrome (SQTS) . Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan.

Wetin na di QT intaval? Di at in ilɛktrik signal dɛn!

Okay, fɔs lɛ wi luk wetin dis QT intaval bi. Yu no se wi at de bit bay we wi de yuz wan sistem we gɛt ilɛktrik signal? I tan lɛk waya sistem na os fɔ ɔn di layt dɛn. na biכs fכ dεn ilektrikal signal dεm ya di chεmba dεm na di at de kכntrakt εn εkspכnd insay כda we, we na di tin we de pכmp bכdi.

Yu go mɔs dɔn si dɔktɔ du ECG (ilɛktrokardiogram) tɛst we dɛn de chɛk yu at. Dɛn kin du dis tɛst bay we dɛn kin mek yu ledɔm na bed ɛn stik smɔl smɔl stika dɛn na yu chɛst ɛn yu an dɛn. Na dat de rikodɔ di ilɛktrik aktiviti na di at. We di dɔktɔ luk dis rikodin, i si wan patikyula wef we dɛn kɔl P, Q, R, S, T. Ɛni wan pan dɛn lɛta ya de tɛl yu aw difrɛn pat dɛn na di at de wok.

Fɔ tɔk am simpul wan:

• P wev: na di ilektrikal signal we de mek di כp chεmba dεm na di at, di atria, kכntrakt.
• QRS komplex: na di ilektrikal signal we de mek di hat in lכw chεmba dεm we dεn kכl vεntrikul dεm kכntrakt. Dis na di men tin we de pɔmp blɔd to di bɔdi.
• t wev: di vεntrikl dεm dכn fכs kכntrakt, dεn de rilaks bak, εn dεn de rεdi fכ di nεks bit. I tan lɛk se yu de rɔn ɛn afta dat yu de rilaks smɔl.

Naw, na di impɔtant tin ya. di QT intaval na di tεm frכm di biginin fכ di QRS kכmpleks to di εnd fכ di T wev. dis na aw dכkta dεm de mכsu aw lכng i tek fכ yu at in lכw chεmba dεm (di `vεntrikul dεm`) fכ pripia fכ di nεks bit afta wan bit. nכmal wan, di QT intaval na hεlty hat de bitwin 0.35 εn 0.45 sekכnd. Bɔt pan pɔsin we gɛt SQTS , dis tɛm nɔ rich 0.34 sɛkɔn. Dis min se di at de bigin fɔ bit bak bifo i ebul fɔ rɛst.

Wetin na di difrɛns bitwin Short QT Syndrome (SQTS) ɛn Long QT Syndrome?

Dis kin impɔtant to yu. Along wit SQTS, wan ɔda sik de we dɛn kɔl Long QT Syndrome (LQTS) . I jɔs tan lɛk di ɔda say na di kɔyn, nɔto so?

• Short QT Syndrome (SQTS): di QT intaval na abnכmal sכt (usually less dan 0.34 sekכnd).
• Long QT Syndrome (LQTS): di QT intaval de abnכmal lכng (dεn kin pas 0.45 sekכnd).

Dɛn tu tin ya kin kam wit prɔblɛm wae kin afɛkt di hat in ritm. Bɔt, di tin dɛn we kin mek pɔsin gɛt dis sik ɛn di we aw dɛn kin trit am kin difrɛn. Tide wi go onli tok boht SQTS.

Udat kin divɛlɔp SQTS?

Dis na rili wan sik we nɔ kin apin so ɔltɛm . I nɔ ivin no ɔmɔs pipul dɛn na di wɔl gɛt am, i nɔ kin bɔku so. Sɔm risach dɔn sho se SQTS simptom kin apia pan sɔm pipul dɛm na di fɔs ia na dɛn layf. Dɔn, dɛn kin se di sik kin kam bak we yu yɔŋ ɛn ivin big. Dis min se i kin afɛkt pipul dɛn we gɛt ɛni ej.

Wetin na di tin dɛn we kin mek pɔsin gɛt SQTS?

SQTS na wan sik we pɔsin kin gɛt we i kam pan jɛnɛtiks . Jɔs lɛk aw yu jin dɛn de sho aw yu yay kɔlɔ ɛn aw yu ia tan, na so dis sik kin kam bak bikɔs yu jin chenj.

Tu we dɛn de we dis kin apin:

1. Inhɛritɛshɔn frɔm mama ɛn papa: If yu mama ɔ papa gɛt dis jɛnɛtik we de chenj, yu kin gɛt am bak.

2. Jin muteshon we nɔ gɛt ɛni kɔz: Sɔntɛnde, dis jenɛtik mutation kin apin na yu bɔdi fɔ natin, ivin if ɛnibɔdi na yu famili nɔ gɛt am.

dis jεnεtik chenj dεm de chenj di wok we tin dεm we dεn kכl ayכn chεnal dεm na di at sεl dεm de du. Dɛn ayɔn chanɛl ya de ɛp di at in ilɛktrik signal fɔ travul fayn fayn wan. We prɔblɛm de wit dɛn, di QT intaval kin shɔt.

Wetin na di sayn dɛm fɔ SQTS?

Nɔto ɔlman wae gɛt SQTS gɛt di sem sayn dɛm. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt bɔku pipul dɛn kin gɛt sɔm sayn dɛn.

De impɔtant tin na dat, dɛn sayn ya kin tan lɛk ɔda kayn hat sik. So, if yu gɛt ɛnitin lɛk dis, i go fayn fɔ mek yu rili go to dɔktɔ ɛn mek dɛn chɛk yu.

De men sayn wae yu kin si na:

• Atrial Fibrillation (AFib): Dis na di sayn we de sho se yu gɛt dis sik. Dɛn ripɔt se i kin afɛkt lɛk 4 pan 5 pipul dɛm wae gɛt SQTS. AFib na we di כp chεmba dεm na di at (atria) nכ de bit fayn, bכt insted "flutter." Dis kin mek di at nɔ de bit ɔltɛm.
• At de bit: Na lɛk 1 pan ɛvri 3 pipul dɛn kin gɛt dis sik. I kin fil lɛk se sɔmbɔdi de bit insay dɛn chɛst, ɔ i kin tan lɛk se dɛn rili de fil di pɔund na dɛn chɛst.
• Diziz ɛn fɔdɔm ɔr sinkɔp: Dis kin afɛkt 1 pan ɛvri 4 pipul dɛm. E kin mek yu fil lɛk yu nɔr de fil fayn ɛn sɔmtɛm yu nɔr kin no natin.

I sɔri fɔ no se sɔm pipul dɛn (lɛk 2 pan ɛvri 5) kin lan fɔs se dɛn gɛt SQTS afta dɛn dɔn gɛt wan at we nɔ de wok ɔ we dɛn at dɔn day wantɛm wantɛm. dis kin bi fכ wan denja we di at de bit we nכ de bit (arrhythmia) na di lכw chεmba dεm na di at, lεk vεntrikul fibrilεsh כn כ vεntrikulכr takikardia, we de mek di at stכp fכ bit wan wan. Dis na wan sik we rili siriɔs.

Imajin, wan yɔŋ man de we ol 25 ia we nem Asanka. I bin sabi fɔ ple spɔt ɛn i bin gɛt wɛlbɔdi. Wan de, we i bin de ple kriket wit in padi dɛn, wantɛm wantɛm i fɔdɔm na grɔn ɛn ol in chɛst. Dɛn kɛr am go na ɔspitul, bɔt dɛn nɔ bin ebul fɔ sev am. Leta tɛst dɛn sho se Asanka gɛt SQTS. I kin sɔri fɔ yɛri dɛn kayn tin ya, bɔt i impɔtant fɔ no bɔt dɛn tin ya.

Aw dɛn kin no bɔt SQTS?

If yu sɔspɛkt se yu gɛt SQTS, dɔktɔ go aks yu fɔs bɔt yu sik ɛn if ɛnibɔdi na yu famili gɛt at sik. Dɔn dɛn kin du dɛn tɛst ya:

• ECG (Electrocardiogram): Dis na di tɛst we impɔtant pas ɔl. I de mɛzhɔ di QT intaval. כltu, if di QT intaval less dan 0.34 sekכnd εn כda simptom dεm de, dεn kin sכspεkt SQTS. sכmtεm, ivin if di QT intaval de bitwin 0.34 εn 0.36 sekכnd, dεn kin tink bכt SQTS if כda simptom dεm de (e.g., famili histri fכ SQTS, fεn spεl dεm we dεn nכ εksplen).
• Jεnεtik tεst: Dɛn kin du dis tεst fכ no if εni jεnεtik chenj de we de mek SQTS. Dis kin ɛp fɔ no if ɔda pipul dɛn na di famili de pan denja.

Sɔntɛnde, yu nɔ kin gɛt ɛni sayn ɛn aksidɛntli yu kin si se yu QT intaval kin shɔt we yu gɛt ECG fɔ ɔda rizin.

Wetin na di tritmɛnt dɛm fɔ SQTS?

Pan ɔl we SQTS na siriɔs sik, dɛn kin trit am. Na dɔktɔ we de mɛn di at kin trit am. Dipen pan yu sik, yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Implantable Cardioverter Defibrillator (ICD): Dis na di tritmɛnt we dɛn kin abop pan pas ɔl fɔ big pipul dɛn we gɛt SQTS. ICD na smɔl mashin we dɛn kin ɔpreshɔn ɔnda di skin na di chɛst ɛn kɔnɛkt am to di at. Dis mashin de wach aw di at de rit ɔltɛm. If wan denja at bit we nɔ de bit (ari ritmia) apin, di ICD kin ɔtomɛtiks gi ilɛktrik shɔk to di at fɔ mek di ritm kam bak. I tan lɛk pɔsin we de gayd layf we i gɛt imejensi.
• Mεdikeshכn dεm: Dεn dεn de f כ anti-arrhythmia dεm wae de kכntro di at ritm. Fɔ ɛgzampul, dɛn kin yuz kinidin fɔ SQTS. Yu dɔktɔ kin gi yu mɛrɛsin dɛn bak lɛk flecainide (TambocorTM) , ibutilide (Corvert® ), propafenone , amiodarone , sotalol , ɔ beta-blɔka (e.g., metoprolol (Toprol XL®, Lopressor®) , carvedilol (Coreg®) ).

Impɔtant: Dɛn mɛrɛsin ya fɔ jɔs tek if yu dɔktɔ tɛl yu, ɛn jɔs lɛk aw i tɛl yu. If yu yuz mɛrɛsin fɔ yusɛf, dat kin mek yu gɛt prɔblɛm.

Yu tink se dɛn kin ridyus di risk fɔ SQTS?

Bikɔs SQTS na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks, no we nɔ de fɔ mek i nɔ gɛt am. I nɔto sɔntin we wi go ebul fɔ kɔntrol.

Bɔt if dɛn no se yu gɛt SQTS, i rili impɔtant fɔ go to dɔktɔ we de mɛn yu at ɔltɛm ɛn fala dɛn advays. Dɛn kin wach yu at wɛl bɔdi ɛn ɛp fɔ ridyus di risk fɔ siriɔs kɔmplikeshɔn, mɔr lɛk aw yu at kin day wantɛm wantɛm, we kin apin bikɔs ɔf SQTS.

Aw lɔŋ yu kin liv wit SQTS?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. De lɔng tɛm wae yu kin liv wit SQTS kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Fɔ sɔm pipul dɛm, SQTS kin mek dɛn at day wantɛm wantɛm. εstimat dεm se pipul dεm we gεt SQTS gεt 40% risk fכ day wan wan we dεn kכl 40. Dis risk de hεvi pan bεlε pikin dεm we ol 0-1 ia εn yכng big pipul dεm we ol 20-40 ia. If dis apin to pikin we ol bitwin di ej we dɛn jɔs bɔn ɛn we ol 1 ia, dɔktɔ dɛn kin kɔl am bak Sudden Infant Death Syndrome (SIDS) .

Bɔt, nɔ mek yu fred wit dis. Di impɔtant tin fɔ mɛmba na dat nɔto ɔlman we gɛt shɔt QT intaval (lɛs dan 360 milisekɔnd) pan ECG gɛt SQTS, ɛn nɔto ɔlman de pan risk fɔ day wantɛm wantɛm na in at. Sɔm pipul dɛm wae gɛt SQTS kin liv nɔrmal layf wae nɔr kin gɛt ɛni sayn. Bikɔs SQTS na dis kayn tin we nɔ kin apin so ɔltɛm, di wan dɛn we de du risach stil de chɛk aw i kin afɛkt di layf we pɔsin de liv.

Yu dɔktɔ kin ɛp yu fɔ kɔntrol yu sik ɛn ridyus yu risk fɔ gɛt prɔblɛm bay we i gi yu di rayt tritmɛnt opshɔn.

Wetin bak yu go lɛk fɔ aks yu dɔktɔ?

If yu sɔspɛkt se yu gɛt SQTS, ɔ if dɛn dɔn no se yu gɛt am, i fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di sayn dɛm fɔ SQTS? Yu tink se di sik dɛn we a kin gɛt kin fit dis?
• Us tɛst dɛn a nid fɔ du fɔ no se a gɛt SQTS?
• Us tritmɛnt opshɔn dɛn a gɛt? Uswan na di bɛst fɔ mi?
• Us chenj dɛn a kin chenj mi layf fɔ mek mi at gɛt wɛlbɔdi? (e.g., fɔ avɔyd sɔm mɛrɛsin dɛn, sɔm tin dɛn fɔ du)
• Wetin na di chans fɔ mek mi pikin dɛn gɛt SQTS? Ɛni tɛst de fɔ no?

Apat frɔm dɛn kwɛstyɔn ya, nɔ fred fɔ tɔk to yu dɔktɔ bɔt ɛnitin we yu de tink ɔ gɛt ɛni dawt bɔt.

Na dis na sɔm pan di tin dɛn we wi dɔn tɔk bɔt (Take-Home Message):

Okay den, mek wi mɛmba wetin wi bin tɔk bɔt:

• Short QT Syndrome (SQTS) na wan sik wae nɔr kin bɔrku, wae kin kam wit jɛnɛtiks.
• wetin kin apin pan dis na dat di QT intaval, we na wan tεm we di at in ilektrikal aktiviti de du, de bi abnכmal sכt. Fɔ tɔk am simpul wan, i de ridyus di tɛm we di say dɛn we de dɔŋ di at fɔ rɛdi fɔ di nɛks bit afta wan bit.
• Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ gɛt diziz, fɔ fɔdɔm, ɛn fɔ tayt na yu chɛst.
• Sɔntɛnde, nɔr kin gɛt ɛni sayn atɔl.
• SQTS na siriɔs sik wae kin mek yu at at pwɛl wantɛm wantɛm ɛn ivin day.
• Bɔt dɛn kin no dis bay we dɛn yuz ECG ɛn tɛst fɔ no if pɔsin gɛt jɛnɛtiks.
• Dɛn kin trit dis wit ICD divays ɛn mɛrɛsin.
• If yu gɛt ɛni dawt bɔt dis, ɔ if ɛnibɔdi na yu famili gɛt dis kayn at sik, mek shɔ se yu go to dɔktɔ fɔ advays.

Mɛmba se, i impɔtant fɔ no bɔt dɛn tin ya ɛn go to dɔktɔ di rayt tɛm. Wi de wish yu gud wɛlbɔdi!

` Short QT sindrom, SQTS, hat sik, ECG, QT intaval, jenɛtik sik, sɔdɛn kadyak arest, ICD