Common "Prolonged Qt" queries answered by top doctors | iCliniq

Prolonged Qt

QT interval in the electrocardiogram represents ventricular depolarization. Prolongation of QT occurs in delayed ventricular repolarization. This condition triggers tachycardia. Delayed ventricular repolarization occurs due to left ventricular hypertrophy, heart failure, hypertension, diabetes, etc. Lightheadedness, heart palpitations, etc., are the symptoms.

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I was diagnosed with pneumonia. Can it cause prolonged QT?

Query: Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused it...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. How much was your QT? Pneumonia will not cause QT prolongation. Since it has resolved, it was probably due to some reversible causes like electrolytes abnormalities like hypocalcemia, hypokalemia, etc. Many drugs also cause QT prolongation, so drugs need to be rev...  Read Full »

I have sinus tachycardia with non-specific ST segment and T wave abnormality. Is this normal?

Query: Hi doctor, I am a 27 year old female. I went to the ER a few years ago, and I was diagnosed with pleurisy and anxiety. I only recently saw my records from that day. My EKG showed sinus tachycardia. My heart rate was 110 beats per minute, which I guess was due to anxiety or trying to breathe with ple...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have seen the ECG (attachment removed to protect patient identity). There are certain minor variations, which are quite commonly seen and considered as normal. So, there is nothing in your ECG, which is worrisome. Also, considering your age, the probability of ...  Read Full »

What is the cause for prolonged QT interval?

Query: Hello doctor, I am attaching my blood reports and few test reports for your opinion. Kindly advise.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. QTc interval is prolonged. Please reply to the following questions so that I may guide you accordingly. Do you have a personal history of syncope or a family history of sudden death? What medicines are you taking for anything? Please have the following labs also done s...  Read Full »

What precautions are needed upon having a prolonged QTc?

Query: Hello doctor, I am 31 years old and quite fit. My weight is 147 pounds, so I am not overweight. My problem is that I have been told that I have a borderline QTc prologation in my ECG. I consulted a cardiologist, but he said the problem was not serious. All my reports came normal. I have asked people...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Diagnosing long QT syndrome takes a lot more than ECG (electrocardiogram). It needs detailed personal and family history. Your ECG QT interval is borderline from the attached reports (attachments removed to protect the patient's identity). Currently, I suggest you av...  Read Full »

I was advised Flecainide for AFib. Is it good?

Query: Hello doctor, I am 50 years old with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and at the year's end, I started a keto diet and went into A-Fib twice, and converted on my own. Started keto again and went into A-fib twice again and converted on my own....  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose to arrhythmia. I would recommend stopping continuing their ...  Read Full »

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