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Cardiac Channelopathies

By

L. Brent Mitchell

, MD, Libin Cardiovascular Institute of Alberta, University of Calgary

Last full review/revision Feb 2021| Content last modified Feb 2021
CLICK HERE FOR THE PROFESSONAL VERSION
Topic Resources

Cardiac channelopathies are genetic abnormalities in heart cell proteins that control heart electrical activity and thus can cause heart rhythm disturbances.

The most common channelopathies cause

Other, more rare cardiac channelopathies include the following:

  • Short QT syndrome

  • J-wave syndrome

  • Catecholaminergic polymorphic ventricular tachycardia (CPVT)

  • Brugada syndrome

Symptoms of Cardiac Channelopathies

Symptoms may be triggered by fever or some drugs, including some drugs used to treat abnormal heart rhythms and some antidepressants.

Diagnosis of Cardiac Channelopathies

  • Electrocardiography

Doctors consider a channelopathy in people who have family members who have a history of fainting or unexplained death due to a heart problem, especially if the death occurred at a young age.

Electrocardiography Electrocardiography Electrocardiography (ECG) is a quick, simple, painless procedure in which the heart’s electrical impulses are amplified and recorded. This record, the electrocardiogram (also known as an ECG)... read more Electrocardiography (ECG) is used to make the diagnosis. But sometimes the pattern of ECG abnormalities is less clear. In such cases, doctors may try to provoke the heart rhythm disturbance with a drug or with exercise, enabling doctors to make a diagnosis.

Treatment of Cardiac Channelopathies

  • Implantable cardioverter-defibrillator

Usually, an implantable cardioverter-defibrillator Restoring normal rhythm Abnormal heart rhythms (arrhythmias) are sequences of heartbeats that are irregular, too fast, too slow, or conducted via an abnormal electrical pathway through the heart. Heart disorders are... read more Restoring normal rhythm (ICD), a small device that can detect an abnormal heart rhythm and deliver a shock to correct it, is used. This procedure is similar to implantation of an artificial pacemaker.

More Information

The following is an English-language resource that may be useful. Please note that THE MANUAL is not responsible for the content of this resource.

Drugs Mentioned In This Article

Generic Name Select Brand Names
CARDIZEM, CARTIA XT
CALAN
LANOXIN
NEXTERONE
ADENOCARD
No US brand name
NOTE: This is the Consumer Version. DOCTORS: CLICK HERE FOR THE PROFESSONAL VERSION
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