Arrhythmias & electrophysiology

The Risk of Breakthrough Cardiac Events Associated With Psychiatric Medications in Patients With Diagnosed and Clinically Treated Long QT Syndrome

JACC Clin ElectrophysiolPublished Retrospective cohort study

Authors' conclusion

After correct diagnosis and treatment, LQTS patients with concomitant mental health issues may be safely and effectively treated with QT-prolonging psychiatric medications.

Study context

Population
Patients with diagnosed and clinically treated Long QT syndrome (LQTS) and a concomitant psychiatric diagnosis requiring QT-prolonging medications, Mayo Clinic, 2000–2023of 1,787 LQTS patients
Participants
195 patients
Outcome
Incidence of breakthrough cardiac events (BCEs) on QT-prolonging psychiatric medications
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

≥1 BCE after first Mayo Clinic evaluation

Patients with ≥1 BCE after first Mayo Clinic evaluation

14 of 195

7%

Of these, on psychiatric medications

3

21%

Observational data: associations, not effects.

Further findings

Patients with ≥1 BCE before first Mayo Clinic evaluation
61 of 195 (31%)
Of these, on psychiatric medications
7 (11%)

Original publication

The Risk of Breakthrough Cardiac Events Associated With Psychiatric Medications in Patients With Diagnosed and Clinically Treated Long QT Syndrome. JACC Clin Electrophysiol. Published 4 September 2025. doi:10.1016/j.jacep.2025.08.002

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