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Thursday, 7 October, 1999, 00:43 GMT 01:43 UK
Heart clue to unexplained drowning
Any form of physical exercise can trigger heart failure
A rare heart abnormality could be to blame for young, fit people who die from drowning, say US scientists.

The defect, known as Long-QT syndrome, or sudden arrhythmic death syndrome, affects the heart's electrical system.

It can lead to fainting, seizures, or even stop the heart working completely and cause death.

Dr Michael Ackerman, from the Mayo Clinic in Minnesota, US, thinks that some unexplained drownings could be caused by the syndrome.

More vigilance

He is calling for more vigilance to identify those most at risk.


Hundreds die in drowning accidents in the UK each year
In the US, drowning is second only to motor vehicle accidents as a leading cause of accidental death. Some 4,000 people drown each year, and no satisfactory explanation can be found for 10% of these cases.

Dr Ackerman examined the case of a 19-year-old woman, a strong swimmer, who died after nearly drowning in four feet of water.

Molecular testing identified the genetic mutation, and testing found that her mother, and a sister had inherited the syndrome.

Dr Ackerman said: "Our study shows that molecular testing can play a vital role in the way we treat and identify individuals who may be at risk from the condition.

"We will be able to diagnose family members who may be at risk even though they've never had symptoms - if we identify the problem, we can intervene and hopefully prevent such tragedies."

The British Heart Foundation says that the most important symptom is fainting or losing consciousness during intense emotional excitement or during physical exertion.

A routine ECG may be able to diagnose, and genetic testing is available.

The BHF estimates that 1 in 10,000 people may have some form of the disease.

Treatment, once diagnosed, is by means of beta blocker drugs. Those at the greatest risk may require the implantation of a pacemaker or a tiny defibrillator, which can shock the heart into restarting should it fall into the wrong rhythm.

See also:

03 Mar 99 | Health
Fear can kill
19 Aug 99 | Medical notes
Sudden death syndrome
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