Life-threatening events in patients with LQT3 on and off beta-blockers: Insights from a case series

The efficacy of beta-blocker in type 3 long QT syndrome (LQT3) remains uncertain, with conflicting results in the literature.1,2 Wilde et al1 reported benefit in women, but this was not confirmed in a French cohort.2 This discrepancy has raised concerns that confounding by indication—that is, the preferential prescription of beta-blockers to the most severely affected patients—might partly explain the apparent lack of benefit observed in some studies. To explore this hypothesis, we conducted a detailed evaluation of LQT3 patients who experienced life-threatening events (LTEs), either on or off beta-blocker therapy.

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Publication Details

Journal
Heart Rhythm O2
Published
2025-11-17
DOI
https://doi.org/10.1016/j.hroo.2025.11.005
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
Field-Weighted Citation Impact
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article

Life-threatening events in patients with LQT3 on and off beta-blockers: Insights from a case series

Vincent Probst, Alexis Hermida, Isabelle Denjoy, Fabrice Extramiana et al.
Heart Rhythm O2
Cardiac electrophysiology and arrhythmias
article

Life-threatening events in patients with LQT3 on and off beta-blockers: Insights from a case series

Vincent Probst, Alexis Hermida, Isabelle Denjoy, Fabrice Extramiana, Adrien Bloch
article en

Abstract

The efficacy of beta-blocker in type 3 long QT syndrome (LQT3) remains uncertain, with conflicting results in the literature.1,2 Wilde et al1 reported benefit in women, but this was not confirmed in a French cohort.2 This discrepancy has raised concerns that confounding by indication—that is, the preferential prescription of beta-blockers to the most severely affected patients—might partly explain the apparent lack of benefit observed in some studies. To explore this hypothesis, we conducted a detailed evaluation of LQT3 patients who experienced life-threatening events (LTEs), either on or off beta-blocker therapy.

Heart Rhythm O2Vol. 7(1)
Inserm (FR), Université Paris Cité (FR), Centre Hospitalier Universitaire de Nantes (FR), Sorbonne Université (FR), Centre Hospitalier Universitaire Amiens-Picardie (FR), Assistance Publique – Hôpitaux de Paris (FR), Pitié-Salpêtrière Hospital (FR), Institut du Thorax (FR), Hôpital Bichat-Claude-Bernard (FR), Université de Picardie Jules Verne (FR)
Openalex Percentile: Top 48%
Cardiac electrophysiology and arrhythmias
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