Effect of Mexiletine in 2 LQT3 Patients
Upper panels (Patient A) show the effect of mexiletine in a child with a baseline QTc of 500 ms who had a syncope at the age of 1 year during fever. After starting mexiletine, his QTc shortened to 468 ms and he has remained asymptomatic for 2 years.
The lower panels (Patient B) show the effect of mexiletine in a girl with a baseline QTc of 542 ms who experienced recurrent syncopal events while receiving nadolol. On mexiletine, the QTc shortened to 427 ms and she remained asymptomatic for 7 years.
The beats used to measure the electrocardiographic parameters before and after starting mexiletine are indicated by the dotted lines (black for the RR interval, red for the QT interval).