TY - JOUR A2 - Di Bella, Gianluca AU - Kern, John AU - Duffy, Margaret AU - Kern, Corinne AU - Mazza, Victor PY - 2014 DA - 2014/10/21 TI - Long QTc Syndrome Type 2 Presenting in a Postpartum Patient on Medroxyprogesterone SP - 676080 VL - 2014 AB - Introduction. Congenital long QT syndrome type 2 (LQTS2) is a rare inherited cardiac abnormality resulting in increased risk of polymorphic ventricular tachycardia (PVT). Case Description. A 21-year-old postpartum female presented with syncopal episode after phone alarm. She was noted to have PVT on telemetry monitoring in the emergency department. EKG revealed QTc of 530. The patient’s only medication was medroxyprogesterone. She ultimately received a dual chamber pacemaker with ICD. Discussion. LQTS2 is associated with alarm sounds as a precipitating factor. Postpartum hormonal shifts as well as medroxyprogesterone have significant effect on native QTc duration. SN - 2090-6404 UR - https://doi.org/10.1155/2014/676080 DO - 10.1155/2014/676080 JF - Case Reports in Cardiology PB - Hindawi Publishing Corporation KW - ER -