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
Open Access CRIS of the University of Bern
Published
2026-03-23
DOI
https://doi.org/10.48620/96266
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
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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, K. E. Odening et al.
Open Access CRIS of the University of Bern
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, K. E. Odening, Rachel M A Ter Bekke, Peter M Deissler
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.

Open Access CRIS of the University of Bern
Czech Academy of Sciences, Institute of Physiology (CZ)
Good health and well-being
Openalex Percentile: Top 22%
Cardiac electrophysiology and arrhythmias
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