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Severe transient neonatal long QT syndrome due to maternal paroxetine usage: a case report

Published online by Cambridge University Press:  02 September 2019

Eeke C. M. Leerssen
Affiliation:
Department of Paediatric Cardiology, University Medical Centre/Wilhelmina Children’s Hospital, Utrecht, the Netherlands
Ramon O. Tak
Affiliation:
Department of Paediatric Cardiology, University Medical Centre/Wilhelmina Children’s Hospital, Utrecht, the Netherlands
Johannes M. P. J. Breur*
Affiliation:
Department of Paediatric Cardiology, University Medical Centre/Wilhelmina Children’s Hospital, Utrecht, the Netherlands
*
Author for correspondence: J. M. P. J. Breur, Department of Paediatric Cardiology, University Medical Centre/Wilhelmina Children’s Hospital, Lundlaan 6, 3584 Utrecht, the Netherlands. Tel: 088 75 555 55; Fax: 088 75 55 23; E-mail: [email protected]

Abstract

A female neonate with in utero selective serotonin reuptake inhibitor exposure presented with bradycardia shortly after birth. Electrocardiography showed severe QT prolongation and second-degree atrioventricular block. Over time QT-times spontaneously normalised and genetic testing did not show mutations associated with long QT syndrome making maternal selective serotonin reuptake inhibitor usage the most likely explanation for the observed severe transient neonatal QT prolongation.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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