The Congenital Long QT Syndrome and Implications for Young Athletes

KAPETANOPOULOS, ATHANASIOS1; KLUGER, JEFFREY2; MARON, BARRY J.3; THOMPSON, PAUL D.4

Medicine & Science in Sports & Exercise: May 2006 - Volume 38 - Issue 5 - pp 816-825
doi: 10.1249/01.mss.0000218130.41133.cc
CLINICAL SCIENCES: Clinically Relevant

The congenital long QT syndrome (LQTS) is caused by cardiac ion channel mutations, which predispose young individuals to sudden cardiac death often related to exercise. The issue of LQTS and sports participation has received significant publicity due to reports of sudden death in young competitive athletes. This article reviews the pathophysiology, clinical characteristics, and management of LQTS in the physically active and athletic population.

1Hartford Hospital, University of Connecticut School of Medicine, Farmington, CT; 2Hypertrophic Cardiomyopathy Center, Minneapolis Heart Institute Foundation, Minneapolis, MN

Address for correspondence: Paul D. Thompson, M.D., Cardiology, Hartford Hospital, 85 Jefferson Street, #704, Hartford, CT 06102-5037; E-mail: pthomps@harthosp.org.

Submitted for publication October 2005.

Accepted for publication November 2005.

©2006The American College of Sports Medicine