{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T17:04:32Z","timestamp":1778087072257,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Diagnosis of inherited arrhythmia syndromes, including long-QT syndrome (LQTS), is challenging; however, early detection and initiation of therapies can reduce otherwise high rates of mortality.<\/jats:p>\n                  <jats:p>Two months following the birth of her first child a previously well 21-year-old female experienced four episodes of transient loss of consciousness (TLOC).<\/jats:p>\n                  <jats:p>The history was atypical for seizures but a video electroencephalogram (EEG) captured an episode with abnormal bifrontal epileptic discharge. She was commenced on levetiracetam.<\/jats:p>\n                  <jats:p>Within weeks of the birth of her second child she experienced five further episodes. During the subsequent hospital admission an electrocardiogram (ECG) recorded polymorphic ventricular tachycardia (VT) during a typical TLOC event. Other ECGs recorded a prolonged QT interval. A diagnosis of LQTS was made and TLOC episodes ceased on commencement of nadolol.<\/jats:p>\n                  <jats:p>The patient experienced 22 TLOC episodes before diagnosis - most likely from self-terminating VT.<\/jats:p>\n                  <jats:p>With widespread availability of effective treatments to reduce the risk of sudden cardiac death in such conditions, clinicians should always remember how the ECG is an essential investigation every time a patient presents with TLOC.<\/jats:p>","DOI":"10.4997\/jrcpe.2019.105","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T09:45:08Z","timestamp":1551865508000},"page":"26-30","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Syncope in a New Mother: A Case of Long-Qt Syndrome Presenting after Childbirth"],"prefix":"10.1177","volume":"49","author":[{"given":"Ryan","family":"Wereski","sequence":"first","affiliation":[{"name":"Core Medical Trainee, Department of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dobson","sequence":"additional","affiliation":[{"name":"Cardiology StR (Electrophysiology & Devices), Golden Jubilee National Hospital, Clydebank, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward J","family":"Newman","sequence":"additional","affiliation":[{"name":"Cardiology Consultant (Electrophysiology), Golden Jubilee National Hospital Clydebank, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Connelly","sequence":"additional","affiliation":[{"name":"Neurology Consultant, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"bibr1-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1097\/01.gim.0000204468.85308.86"},{"key":"bibr2-jrcpe.2019.105","unstructured":"NHS Scotland Information Services Division, GP Workforce and practice list sizes 2007\u20132017 Report, Published 12\/12\/17. https:\/\/www.isdscotland.org\/Health-Topics\/General-Practice\/Publications\/2017-12-12\/2017-12-12-GPWorkforce2017-Report.pdf (accessed 29\/03\/18)."},{"key":"bibr3-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.10.025"},{"key":"bibr4-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.01.031"},{"key":"bibr5-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(03)00127-9"},{"key":"bibr6-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2014.00471"},{"key":"bibr7-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2016-310617"},{"key":"bibr8-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.09.054"},{"key":"bibr9-jrcpe.2019.105","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.522581"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2019.105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2019.105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:30:54Z","timestamp":1777617054000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2019.105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.4997\/jrcpe.2019.105"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2019.105","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}