Prolonged QT Syndrome ===================== þ Differential - low K+ - low Mg++ - low Ca++ - drugs - congenital þ EKG features - usually see prolonged T wave - if see prolonged ST segment instead: hypothermia or low Ca+ þ And syncope - Can mimic breath-holding spell syncope (syncope after minor injury) but eventually be fatal [Breningstall, G. N. (1996). "Breath-holding spells." Pediatr Neurol 14(2): 91-7.]