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Long-QT-Syndrom: molekulare Grundlagen und Klinik

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Interventionelle kardiale Elektrophysiologie
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Zusammenfassung

Eine gestörte Repolarisation mit verlängerter QT-Zeit im Oberflächen-EKG und verlängertem Aktionspotential auf zellulärer Ebene gilt als Ursache potentiell lebensbedrohlicher ventrikulärer Arrhythmien. Das angeborene Long-QT-Syndrom wurde in diesem Zusammenhang lange als Rarität angesehen und dient heute als molekulares Modell zum Verständnis der ventrikulären Arrhythmogenese.

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Literatur

  • Ackerman MJ (1998) The long QT syndrome: ion channel diseases of the heart. Mayo Clin Proc 73: 250–269

    Article  PubMed  CAS  Google Scholar 

  • Ackerman MJ, Clapham DE (1997) Ion channels: basic science and clinical disease. N Engl J Med 336: 1575–1586

    Article  PubMed  CAS  Google Scholar 

  • Barhanin J, Lesage F, Guillemare E, Fink M, Lazdunski M, Romey G (1996) KVLQT1 and IsK(minK) proteins associate to form the IEs cardiac potassium current. Nature 384: 78–80

    Article  PubMed  CAS  Google Scholar 

  • Bazett HC (1920) An analysis of the time-relations of the electrocardiograms. Heart 7: 353–370

    Google Scholar 

  • Bennett PB, Yazawa K, Makita N, George AL Jr. (1995) Molecular mechanisms for an inherited cardiac arrhythmia. Nature 376: 683–685

    Article  PubMed  CAS  Google Scholar 

  • Beuckelmann DJ, Näbauer M, Ermann E (1993) Alterations of K+ currents in isolated human ventricular myocytes from patients with terminal heart failure. Circ Res 73: 379–385

    Article  PubMed  CAS  Google Scholar 

  • Curran ME, Splawski I, Timothy KW, Vincent GM, Green ED, Keating MT (1995) A molecular basis for cardiac arrhythmia: HERG mutations cause long-QT syndrome. Cell 80: 795–803

    Article  PubMed  CAS  Google Scholar 

  • Geelen JL (1998) Molecular genetics of inherited long QT syndroms. Eur Heart J 19: 1427–1433

    Article  PubMed  CAS  Google Scholar 

  • Jervell A, Lange-Nielsen F (1957) Congenital deaf-mutism, functional heart disease with prolongation of the QT-interval and sudden death. Am Heart J 54: 59–68

    Article  PubMed  CAS  Google Scholar 

  • Keating MT, Atkinson D, Dunn C, Timothy K, Vincent GM, Lepper M (1991) Linkage of a cardiac arrhythmia, the long QT syndrome, and the Harvey ras-1 gene. Science 252: 704–706

    Article  PubMed  CAS  Google Scholar 

  • Malfatto G, Beria G, Sala S, Bonazzi O, Schwartz PJ (1994) Quantitative analysis of T-wave abnormalities and their prognostic implications in the idiopathic long QT syndrome. J Am Coll Cardiol 23: 296–301

    Article  PubMed  CAS  Google Scholar 

  • Moss AJ, Zareba W, Benhorin J et al. (1995) ECG-T-wave patterns in genetically distinct forms of the hereditary long QT syndrome. Circulation 92: 2929–2934

    Article  PubMed  CAS  Google Scholar 

  • Neyroud N, Tesson F, Denjoy I, Leibovici M, Donger C, Barhanin J et al. (1997) A novel mutation in the potassium channel gene KVLQT1 causes the Jervell and Lange-Nielsen cardioauditory syndrome. Nat Genet 1997; 15: 186–189

    Article  CAS  Google Scholar 

  • Priori SG, Napolitano C, Diehl L, Schwartz PJ (1994) Dispersion of the QT interval. A mar-ker of therapeutic efficacy in the idiopathic long QT syndrome. Circulation 89: 1681

    Article  PubMed  CAS  Google Scholar 

  • Roden DM, Lazzara R, Rosen M, Schwartz Pi, Towbin J, Vincent M (1996) Multiple mechanisms in the long-QT syndrome. Current knowledge, gaps, and future directions. The SADS Foundation Task Force on LQTS. Circulation 94: 1996–2012

    Article  PubMed  CAS  Google Scholar 

  • Roden DM, George AL (1997) Structure and function of cardiac sodium and potassium channels. Am J Physiol 273: H511–H525

    PubMed  CAS  Google Scholar 

  • Romano C, Gemme G, Pongiglione R (1963) Aritmie cardiache rare dell`eta`pediarica. II Accessi sincopali per fibrillazione ventricolare parossistica. Clin Pediatr 45: 656–661

    CAS  Google Scholar 

  • Sanguinetti MC, Curran ME, Zou A, Shen J, Spector PS, Atkinson DL et al. (1996) Coassembly of KVLQT1 and minK(Isk) proteins to form cardiac IKs potassium channel. Nature 384: 78–80

    Article  Google Scholar 

  • Schulze-Bahr E, Wang Q, Weddekind H, Haverkamp W, Chen Q, Sun Yet al. (1997) KNCE1 mutations cause Jervell and Lange-Nielsen syndrome. Nat Genet 17: 267–268

    Article  PubMed  CAS  Google Scholar 

  • Schwartz PJ (1985) Idiopathic long QT syndrome: progress and questions. Am Heart J 111: 399–411

    Article  Google Scholar 

  • Schwartz PJ, Moss AJ, Vincent GM, Crampton RS (1993) Diagnostic criteria for the long QT-syndrome: an update. Circulation 88: 782–784

    Article  PubMed  CAS  Google Scholar 

  • Splawski I, Tristani-Firouzi M, Lehmann MH, Sanguuinetti MC, Keating MT (1997) Mutations in the hmink gene cause long QT syndrome and suppress IKS function. Nat Genet 17: 338–340

    Article  PubMed  CAS  Google Scholar 

  • Trudeau MC, Warmke JW, Ganetzky B, Robertson GA (1995) HERG, a human inward rectifier in the voltage-gated potassium channel family. Science 269: 92–95

    Article  PubMed  CAS  Google Scholar 

  • Vincent GM, Timothy KW, Leppert M, Keating M (1992) The spectrum of symptoms and QT intervals in carriers of the gene for the long-QT-syndrome. N Engl J Med 327: 846–852

    Article  PubMed  CAS  Google Scholar 

  • Wang Q, Shen J, Splawski I, Atkinson D, Li Z, Robinson JL et al. (1995) SCN5A mutations associated with an inherited cardiac arrhythmia long QT syndrome. Cell 80: 805–811

    Article  PubMed  CAS  Google Scholar 

  • Wang Q, Curran ME, Splawski I et al. (1996) Positional cloning of a novel potassium channel gene: KVLQT1 mutations cause cardiac arrhythmias. Nat Genet 12: 17–23

    Article  PubMed  Google Scholar 

  • Ward OC (1964) New familial cardiac syndrome in children. J Ir Med Assoc 54: 103–106

    PubMed  CAS  Google Scholar 

  • Yang T, Snyders DJ, Roden DM (1997) Rapid inactivation determines the rectification and [K+] o dependence of the rapid component of the delayed rectifier K+current in cardiac cells. Circ Res 80: 782–789

    Article  PubMed  CAS  Google Scholar 

  • Zareba W, Moss AJ, Schwartz PJ et al. (1998) Influence of the genotype on the clinical course of the long-QT syndrome. N Engl J Med 339: 960–965

    Article  PubMed  CAS  Google Scholar 

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© 1999 Springer-Verlag Berlin Heidelberg

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Kääb, S. (1999). Long-QT-Syndrom: molekulare Grundlagen und Klinik. In: Hoffmann, E., Steinbeck, G. (eds) Interventionelle kardiale Elektrophysiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58522-7_4

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  • DOI: https://doi.org/10.1007/978-3-642-58522-7_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63630-1

  • Online ISBN: 978-3-642-58522-7

  • eBook Packages: Springer Book Archive

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