Long QT Syndrome
Order Code: LQTS
Epic Lab Code: LAB5720
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
6240 RCP
356-3527
Specimen:
Plasma
Collection Medium:
and
Lavender top tube 4 mL (EDTA) Lavender top tube 4 mL (EDTA)
Minimum:
TWO 4 mL lavender top tubes
Delivery Instructions:
Submit specimen to laboratory as soon as possible after collection.
Specimen Instructions:
Draw Monday - Friday. Samples received in lab on Fridays will be kept at room temperature and shipped the following business day (Monday).
Analytic Time:
4-6 weeks
Reference Range:
See report
Comments:
Genetic analysis is very important for identifying all mutation carriers within the LQTS family. Once identified, silent carriers of LQTS genetic defects may be treated with beta-blockers for prophylaxis of life-threatening arrhythmias. Furthermore, silent mutation carriers should receive genetic counseling to learn about the risk of transmitting LQTS to offspring. In patients affects by LQTS, genetic analysis is useful for risk stratification and for making therapeutic decisions. Risk Stratification *Genetic testing is often useful in probands with a clinical diagnosis of LQTS to provide more accurate risk stratification and to guide therapeutic strategies. *It has been shown that the interplay between genetic defect, QT duration, and gender may provide an algorithm for risk stratification. Genetic testing that can detect a mutation which may cause cardiac channelopathies, rare, potentially lethal heart conditions. The tests can reduce uncertainty and find the specific causes of cardiac channelopathies, the test can: *Help diagnose a patient's disease *Guide treatment options *Determine whether family members are at risk Patients presenting with: -Unexplained syncope -Onset of symptoms typically occurs during childhood and adolescence -Family Hx of sudden cardiac death -Unexplained VT/VF or TdP -Prolonged QT interval KCNQ1 (LQT1) KCNH2 (LQT1) SCN5A (LQT3) KCNE1 (LQTS) KCNE2 (LQT6) Please print, complete and submit the Test Requisition and Informed Consent for Testing from PGxHEALTH with the A-1a Miscellaneous Request.
CPT Code:
83891, 83898(x73), 83904(x73), 83909(x73)