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Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3  Reina Bianca Tan, MD, Sujata Chakravarti, MD, Melissa Busovsky-McNeal,

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1 Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3 
Reina Bianca Tan, MD, Sujata Chakravarti, MD, Melissa Busovsky-McNeal, MD, Abigail Walsh, NP, Frank Cecchin, MD  HeartRhythm Case Reports  Volume 3, Issue 1, Pages (January 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Initial electrocardiogram revealing bradycardia with 2:1 atrioventricular block and prolonged QT with isolated premature ventricular contractions. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Timeline of significant events in months vs arrhythmia burden. ICD = implantable cardioverter-defibrillator; LCSD = left cardiac sympathetic denervation; PM = pacemaker; Tdp = torsades de pointes. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 Figure 3 Electrocardiogram showing A-paced rhythm at a rate of 100 beats per minute with QTc of 595 msec. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions


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