Differential effects of non-selective and cardio-selective beta-blocker therapy on ECG parameters in long QT syndrome type 1

•Non-selective β-blockers markedly reduce Tpeak/end in LQT1 patients.•Cardio-selective β-blockers show no consistent effect on Tpeak/end.•The nsBB effect persists after exercise, independent of heart rate.•Tpeak/end shortening indicates decreased global repolarization heterogeneity and reduced arrhythmic risk.•Tpeak/end may serve as a novel ECG marker for β-blocker efficacy in LQT1.

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Publication Details

Journal
IJC Heart & Vasculature
Published
2026-03-11
DOI
https://doi.org/10.1016/j.ijcha.2026.101901
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
Field-Weighted Citation Impact
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article

Differential effects of non-selective and cardio-selective beta-blocker therapy on ECG parameters in long QT syndrome type 1

Vanessa Christe, Saranda Nimani, Marina Rieder, Rachel Ma Ter Bekke et al.
IJC Heart & Vasculature
Cardiac electrophysiology and arrhythmias
article

Differential effects of non-selective and cardio-selective beta-blocker therapy on ECG parameters in long QT syndrome type 1

Vanessa Christe, Saranda Nimani, Marina Rieder, Rachel Ma Ter Bekke, Peter M. Deissler, Katja E. Odening
article en

Abstract

•Non-selective β-blockers markedly reduce Tpeak/end in LQT1 patients.•Cardio-selective β-blockers show no consistent effect on Tpeak/end.•The nsBB effect persists after exercise, independent of heart rate.•Tpeak/end shortening indicates decreased global repolarization heterogeneity and reduced arrhythmic risk.•Tpeak/end may serve as a novel ECG marker for β-blocker efficacy in LQT1.

IJC Heart & VasculatureVol. 64
Maastricht University Medical Centre (NL), University Hospital of Bern (CH), Maastricht University (NL), ERN GUARD-Heart (NL)
Good health and well-being
Openalex Percentile: Top 32%
Cardiac electrophysiology and arrhythmias
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