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November 16, 2024Heart Rhythm O2Open Access

Asthma and the risk of cardiac events among patients with long QT syndrome after age 40

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Why the study?

Limited data exist on the impact of asthma on long QT syndrome in middle-aged and older adults.

Does the presence of asthma increase the risk of cardiac events in patients with long QT syndrome over age 40?

Population

1020 LQTS patients from the Rochester LQTS Registry

Comparison

Presence of asthma with and without β2-agonist inhaler treatment

Design

Registry-based study

Follow-up

From age 40 through 75 years

Key result

The presence of asthma is associated with an increased risk of cardiac events among middle-aged and older patients with long QT syndrome, regardless of β2-agonist inhaler treatment.

Authors

ABAlon BarsheshetIGIlan GoldenbergKBKirill Buturlin

Discussion

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Overview

Asthma signals higher cardiac event risk in LQTS patients over 40; leaves open whether it refines risk models or warrants practice changes.

Study Design

Type

Cohort (n=1,020)

Structured PICO

Does the presence of asthma increase the risk of cardiac events in patients with long QT syndrome over age 40?

P
Population
1020 patients with long QT syndrome (LQTS) aged 40 through 75 years from the Rochester LQTS Registry.
I
Intervention
Presence of asthma (with or without β2-agonist inhaler treatment)
C
Comparator
Absence of asthma
O
Outcome
Cardiac events (composite of syncope, aborted cardiac arrest, implantable cardioverter-defibrillator shock, or sudden cardiac death)composite

Main Result

p-value: p== .963

Asthma is associated with an increased risk of cardiac events in middle-aged and older patients with long QT syndrome, independent of β2-agonist inhaler use.

Cite This Study

Barsheshet et al. (2024) conducted a cohort in Long QT syndrome (n=1,020). Asthma (with or without β2-agonist inhaler) vs. No asthma was evaluated on Cardiac events (syncope, aborted cardiac arrest, implantable cardioverter-defibrillator shock, or sudden cardiac death) (p== .963). The presence of asthma is associated with an increased risk of cardiac events among middle-aged and older patients with long QT syndrome, regardless of β2-agonist inhaler treatment.

synapsesocial.com/papers/6a08623aafa0a1b8dbddf4eehttps://doi.org/10.1016/j.hroo.2024.11.007
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