General Lifestyle Advice
The majority of conditions that can cause sudden cardiac death appear to be worsened by exercise. So doctors usually advise people with these conditions to avoid competitive sports and unrestricted severe exertion. This can be especially difficult for younger people who may be unwilling to stop sport. It is important to get a balance between the benefit of restricting exercise and the negative impact the restrictions may have on the person. Hopefully the person can come to terms with the changes he or she needs to make.
This advice is complicated by the fact that SADS deaths often occur at night and
during sleep -
Drugs to avoid
Anyone with a condition affecting the heart that can cause sudden cardiac death needs
to take extra care with medicines. All medicines -
For people with LQTS there are specific medications that can have a serious effect by further prolonging the QT interval. You must always check with your GP or cardiologist before taking any new medication.
In people with Brugada Syndrome the number and range of drugs that may make the condition
worse is unknown and caution must be used. Antiarrhythmics, beta-
Research in the channelopathies is progressing rapidly and in the future it is expected that all the genes involved will be discovered.
In the future, it may also be possible to diagnose all carriers easily -
In the meantime, better understanding of these conditions and improvements in methods for diagnosis should still result in better management.
However it is crucial that, when an unexplained and unexpected sudden death occurs, all immediate blood relatives should be evaluated by a cardiologist to find out if they have an inherited heart disease such as a channelopathy.
Information courtesy of www.sads.org.uk