Table 3

Details concerning patients with selective oestrogen receptor modulators (SERMs)-associated long QT syndrome with no ventricular arrhythmias (n=30) collected from VigiBase (last accessed in September 2017) and PubMed (last accessed in December 2017)

CharacteristicNumber (%)Number with available data
Female gender19 (66)29
Age (years)27
 <183 (11)
 18–6415 (56)
 65–858 (29)
 >851 (4)
Indication20
 Breast cancer11 (55)
 Meningioma, glioma3 (15)
 Other6 (30)
Region of reporting25
 Americas9 (36)
 Europe13 (52)
 Asia2 (8)
 Oceania1 (4)
Other concomitant reported suspected medications*30
 None (only SERMs)18 (60)
 One other10 (33)
 Two others2 (7)
Regimen of culprit drug30
 Tamoxifen (10–30 mg/day; oral)17 (57)
 Tamoxifen (100–300 mg/day; oral)4 (13)
 Tamoxifen (dose unknown)4 (13)
 Toremifene (300 mg/day; oral)5 (17)
Magnitude of QTc prolongation10
 QTc (470–500 ms)1 (10)
 QTc >500 ms9 (90)
Concurrent reported condition favouring LQT syndrome30
 Hypokalaemia, hypomagnesaemia1 (3)
 Cardiac conditions (ischaemia, heart failure)2 (6)
 Bradycardia2 (6)
 Atrial fibrillation2 (6)
Reporting year30
 1990–20046 (20)
 2005–20104 (13)
 2011–201720 (67)
Reporter qualification29
 Health professional25 (86)
 Consumer (non-health professional)4 (14)
Time to onset, median (IQR) days7 (5–66.5)21
(Min, max) days(1, 1415)
  • *Other concomitant reported suspected medications were hydrochlorothiazide (n=1), glycopyrronium (n=1), antidepressant drugs (n=3), class III antiarrhythmic drugs (n=2), fluoroquinolone (n=2), acitretin (n=1), ACE inhibitor (n=1) and anticancer drugs (n=3).