The primary care NP refers a patient to a cardiologist who diagnoses long QT syndrome. The cardiologist has prescribed propranolol (Inderal). The patient exercises regularly and is not obese
The patient asks the NP what else can be done to minimize risk of sudden cardiac arrest. The NP should counsel the patient to: a. drink extra fluids when exercising.
b. reduce stress with yoga and hot baths.
c. ask the cardiologist about an implantable defibrillator.
d. ask the cardiologist about adding procainamide to the drug regimen.
A
Patients with long QT syndrome should avoid situations in which they might overheat or get dehydrated. This patient should be encouraged to drink plenty of fluids while exercising and should avoid activities such as yoga and hot baths. Implantable cardioverter-defibrillators are used for high-risk patients. Procainamide can cause long QT syndrome.
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