Cardiac Inherited Disease (including HOCM)

Availability

North South North West Statewide

Pre-referral work-up

History

The Cardiac Inherited Diseases (CID) clinic is a cardiologist led clinic focusing on the diagnosis and management of inherited cardiac channelopathies including (but not limited to) Long QT Syndrome, Short QT Syndrome, Brugada Syndrome, Catecholaminergic Polymorphic Ventricular Tachycardia, and Idiopathic Ventricular Fibrillation.

All referrals should comply with the Referral Standards.

Patients suitable for this clinic:

  • Aged between 12 to 40 years
  • Personal or family history of:
    • - Long QT Syndrome
    • - Short QT Syndrome
    • - Brugada Syndrome
    • - Catecholaminergic Polymorphic Ventricular Tachycardia
  • Survivor of an unexplained cardiac arrest below the age of 40 years
  • Family history of an unexplained sudden death below the age of 40 years
  • Recurrent unexplained syncope (>one episode)

Tests

ECG

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

ECG Characteristics

  • QTc > 460 ms in males
  • QTc > 480 ms in females
  • QTc ≤ 360 ms
  • Type I, II, or III Brugada pattern on ECG
  • Short coupled ventricular ectopic beats (<300ms)
  • Polymorphic ventricular arrhythmias (>four consecutive ventricular beats of differing morphology)

For further information see specific conditions in HealthPathways.

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks