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Shortened QT interval

MedGen UID:
489827
Concept ID:
C0151879
Finding
Synonym: Decreased QT interval
SNOMED CT: Shortened QT interval (77867006); Decreased QT interval (77867006)
 
HPO: HP:0012232

Definition

Decreased time between the start of the Q wave and the end of the T wave as measured by the electrocardiogram (EKG). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVShortened QT interval

Conditions with this feature

Short QT syndrome type 3
MedGen UID:
400662
Concept ID:
C1865018
Disease or Syndrome
Short QT syndrome is a cardiac channelopathy associated with a predisposition to atrial fibrillation and sudden cardiac death. Patients have a structurally normal heart, but electrocardiography (ECG) exhibits abbreviated QTc (Bazett's corrected QT) intervals of less than 360 ms (summary by Moreno et al., 2015). For a discussion of genetic heterogeneity of short QT syndrome, see SQT1 (609620).
Short QT syndrome type 2
MedGen UID:
355890
Concept ID:
C1865019
Disease or Syndrome
Short QT syndrome is a cardiac channelopathy associated with a predisposition to atrial fibrillation and sudden cardiac death. Patients have a structurally normal heart, but electrocardiography (ECG) exhibits abbreviated QTc (Bazett's corrected QT) intervals of less than 360 ms (summary by Moreno et al., 2015). For a discussion of genetic heterogeneity of short QT syndrome, see SQT1 (609620).
Short QT syndrome type 1
MedGen UID:
355891
Concept ID:
C1865020
Disease or Syndrome
Short QT syndrome (SQT) is a cardiac channelopathy associated with a predisposition to atrial fibrillation and sudden cardiac death. Patients have a structurally normal heart, but electrocardiography (ECG) exhibits abbreviated QTc (Bazett's corrected QT) intervals of less than 360 ms (summary by Moreno et al., 2015). Genetic Heterogeneity of Short QT Syndrome Short QT syndrome-2 (SQT2; 609621) is caused by mutation in the KCNQ1 gene (607542). SQT3 (609622) is caused by mutation in the KCNJ2 gene (600681). SQT7 (620231) is caused by mutation in the SLC4A3 gene (106195).
Brugada syndrome 4
MedGen UID:
395632
Concept ID:
C2678477
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Brugada syndrome 3
MedGen UID:
395633
Concept ID:
C2678478
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Short QT syndrome 7
MedGen UID:
1824077
Concept ID:
C5774304
Disease or Syndrome
Short QT syndrome-7 (SQT7) is characterized by a corrected QT interval of 370 ms or less and a J-point to T-peak less than 140 ms. Affected individuals may experience cardiac arrest and/or ventricular fibrillation at rest, and sudden death may occur. Affected children and most females are asymptomatic (Thorsen et al., 2017). For a general phenotypic description and discussion of genetic heterogeneity of short QT syndrome, see SQT1 (609620).

Professional guidelines

PubMed

Schimpf R, Veltmann C, Papavassiliu T, Rudic B, Göksu T, Kuschyk J, Wolpert C, Antzelevitch C, Ebner A, Borggrefe M, Brandt C
Heart Rhythm 2012 May;9(5):776-81. Epub 2012 Jan 11 doi: 10.1016/j.hrthm.2012.01.006. PMID: 22245794Free PMC Article
Wolpert C, Schimpf R, Veltmann C, Giustetto C, Gaita F, Borggrefe M
Expert Rev Cardiovasc Ther 2005 Jul;3(4):611-7. doi: 10.1586/14779072.3.4.611. PMID: 16076272

Recent clinical studies

Etiology

Grytsay ON, Skybchyk YV, Shorikova DV, Shorikov EI
Wiad Lek 2022;75(7):1805-1812. doi: 10.36740/WLek202207113. PMID: 35962703
van den Berg ME, Stricker BH, Brusselle GG, Lahousse L
Trends Cardiovasc Med 2016 Oct;26(7):606-13. Epub 2016 Apr 9 doi: 10.1016/j.tcm.2016.04.001. PMID: 27234353
Hedley PL, Jørgensen P, Schlamowitz S, Wangari R, Moolman-Smook J, Brink PA, Kanters JK, Corfield VA, Christiansen M
Hum Mutat 2009 Nov;30(11):1486-511. doi: 10.1002/humu.21106. PMID: 19862833
Schimpf R, Borggrefe M, Wolpert C
Curr Opin Cardiol 2008 May;23(3):192-8. doi: 10.1097/HCO.0b013e3282fbf756. PMID: 18382206
Wolpert C, Schimpf R, Veltmann C, Giustetto C, Gaita F, Borggrefe M
Expert Rev Cardiovasc Ther 2005 Jul;3(4):611-7. doi: 10.1586/14779072.3.4.611. PMID: 16076272

Diagnosis

Grytsay ON, Skybchyk YV, Shorikova DV, Shorikov EI
Wiad Lek 2022;75(7):1805-1812. doi: 10.36740/WLek202207113. PMID: 35962703
Locati ET, Bagliani G, Cecchi F, Johny H, Lunati M, Pappone C
Card Electrophysiol Clin 2019 Jun;11(2):345-362. Epub 2019 Apr 10 doi: 10.1016/j.ccep.2019.02.009. PMID: 31084855
Schimpf R, Borggrefe M, Wolpert C
Curr Opin Cardiol 2008 May;23(3):192-8. doi: 10.1097/HCO.0b013e3282fbf756. PMID: 18382206
Brugada R, Hong K, Cordeiro JM, Dumaine R
CMAJ 2005 Nov 22;173(11):1349-54. doi: 10.1503/cmaj.050596. PMID: 16301704Free PMC Article
Wolpert C, Schimpf R, Veltmann C, Giustetto C, Gaita F, Borggrefe M
Expert Rev Cardiovasc Ther 2005 Jul;3(4):611-7. doi: 10.1586/14779072.3.4.611. PMID: 16076272

Therapy

Wang J, Liang Y, Wang W, Chen X, Bai J, Chen H, Su Y, Chen R, Ge J
J Cardiovasc Electrophysiol 2020 Jan;31(1):313-322. Epub 2019 Dec 10 doi: 10.1111/jce.14295. PMID: 31778249
Zambruni A, Trevisani F, Di Micoli A, Savelli F, Berzigotti A, Bracci E, Caraceni P, Domenicali M, Felline P, Zoli M, Bernardi M
J Hepatol 2008 Mar;48(3):415-21. Epub 2007 Dec 26 doi: 10.1016/j.jhep.2007.11.012. PMID: 18194821
Naschitz J, Fields M, Isseroff H, Sharif D, Sabo E, Rosner I
J Electrocardiol 2006 Oct;39(4):389-94. Epub 2006 Feb 28 doi: 10.1016/j.jelectrocard.2005.10.014. PMID: 16895768
Christidis D, Kalogerakis D, Chan TY, Mauri D, Alexiou G, Terzoudi A
Seizure 2006 Jan;15(1):64-6. Epub 2005 Nov 22 doi: 10.1016/j.seizure.2005.10.002. PMID: 16309926
Brugada R, Hong K, Cordeiro JM, Dumaine R
CMAJ 2005 Nov 22;173(11):1349-54. doi: 10.1503/cmaj.050596. PMID: 16301704Free PMC Article

Prognosis

Chaigne S, Cardouat G, Louradour J, Vaillant F, Charron S, Sacher F, Ducret T, Guinamard R, Vigmond E, Hof T
Am J Physiol Heart Circ Physiol 2021 Mar 1;320(3):H1156-H1169. Epub 2021 Jan 15 doi: 10.1152/ajpheart.00497.2020. PMID: 33449852
Wang J, Liang Y, Wang W, Chen X, Bai J, Chen H, Su Y, Chen R, Ge J
J Cardiovasc Electrophysiol 2020 Jan;31(1):313-322. Epub 2019 Dec 10 doi: 10.1111/jce.14295. PMID: 31778249
van den Berg ME, Stricker BH, Brusselle GG, Lahousse L
Trends Cardiovasc Med 2016 Oct;26(7):606-13. Epub 2016 Apr 9 doi: 10.1016/j.tcm.2016.04.001. PMID: 27234353
Pugsley MK, Authier S, Towart R, Gallacher DJ, Curtis MJ
J Pharmacol Toxicol Methods 2009 Jul-Aug;60(1):24-7. Epub 2009 Jul 15 doi: 10.1016/j.vascn.2009.07.001. PMID: 19616107
Zambruni A, Trevisani F, Di Micoli A, Savelli F, Berzigotti A, Bracci E, Caraceni P, Domenicali M, Felline P, Zoli M, Bernardi M
J Hepatol 2008 Mar;48(3):415-21. Epub 2007 Dec 26 doi: 10.1016/j.jhep.2007.11.012. PMID: 18194821

Clinical prediction guides

Chaigne S, Cardouat G, Louradour J, Vaillant F, Charron S, Sacher F, Ducret T, Guinamard R, Vigmond E, Hof T
Am J Physiol Heart Circ Physiol 2021 Mar 1;320(3):H1156-H1169. Epub 2021 Jan 15 doi: 10.1152/ajpheart.00497.2020. PMID: 33449852
Wang J, Liang Y, Wang W, Chen X, Bai J, Chen H, Su Y, Chen R, Ge J
J Cardiovasc Electrophysiol 2020 Jan;31(1):313-322. Epub 2019 Dec 10 doi: 10.1111/jce.14295. PMID: 31778249
van den Berg ME, Stricker BH, Brusselle GG, Lahousse L
Trends Cardiovasc Med 2016 Oct;26(7):606-13. Epub 2016 Apr 9 doi: 10.1016/j.tcm.2016.04.001. PMID: 27234353
Giustetto C, Scrocco C, Schimpf R, Maury P, Mazzanti A, Levetto M, Anttonen O, Dalmasso P, Cerrato N, Gribaudo E, Wolpert C, Giachino D, Antzelevitch C, Borggrefe M, Gaita F
Europace 2015 Apr;17(4):628-34. doi: 10.1093/europace/euu351. PMID: 25833882
Pugsley MK, Authier S, Towart R, Gallacher DJ, Curtis MJ
J Pharmacol Toxicol Methods 2009 Jul-Aug;60(1):24-7. Epub 2009 Jul 15 doi: 10.1016/j.vascn.2009.07.001. PMID: 19616107

Recent systematic reviews

van den Berg ME, Stricker BH, Brusselle GG, Lahousse L
Trends Cardiovasc Med 2016 Oct;26(7):606-13. Epub 2016 Apr 9 doi: 10.1016/j.tcm.2016.04.001. PMID: 27234353

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