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Case Reports in Cardiology
Volume 2014 (2014), Article ID 676080, 2 pages
Case Report

Long QTc Syndrome Type 2 Presenting in a Postpartum Patient on Medroxyprogesterone

1Internal Medicine Residency Program, Rutgers New Jersey Medical School, Rutgers University, 150 Bergen Street, UH-I248, Newark, NJ 07101, USA
2Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ 07601, USA

Received 10 July 2014; Accepted 5 October 2014; Published 21 October 2014

Academic Editor: Gianluca Di Bella

Copyright © 2014 John Kern et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.