RT Journal Article SR Electronic T1 A variant of long QT syndrome manifested as fetal tachycardia and associated with ventricular septal defect JF Heart JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 386 OP 388 DO 10.1136/hrt.82.3.386 VO 82 IS 3 A1 M-H Wu A1 F-C Hsieh A1 J-K Wang A1 M-L Kau YR 1999 UL http://heart.bmj.com/content/82/3/386.abstract AB Two patients with a novel variant of long QT syndrome are described. The clinical course was characterised by an in utero onset of ventricular tachycardia and atrioventricular block (at 26 and 30 weeks’ gestational age, respectively), and an association with a ventricular septal defect. Studies of both patients’ families identified relatives with prolonged QT interval, syncope, or sudden death. One patient died of intractable ventricular tachycardia at 4 days old. The other received β blocker treatment and a pacemaker. She died suddenly at the age of 10 months. The unique association with ventricular septal defect and the malignant clinical course warrants further molecular diagnosis of this novel variant of long QT syndrome.