Abstract:

This paper reports the inpatient care and nine-year follow-up management experience of a patient with Type 3 Long QT Syndrome. During hospitalization，efforts were focused on accurate symptom identification and emergency intervention. Key points in post-discharge follow-up care include medication education to prevent the use of drugs that prolong the QT interval on ECG，the application of anticipatory care to enhance the patient’s self-management skills，and the joint development of a family emergency plan by relatives and healthcare providers. Additionally，the comprehensive family genetic health management was implemented. Through systematic screening，disease education，and continuous follow-up，the patient was maintained on long-term oral metoprolol post-discharge，with no further cardiac adverse events. The cardiac function of the patient improved，and during follow-up，the patient exhibited good recovery，being able to perform self-monitoring as required，and returned to normal life.

Key words: Long QT Syndrome, Arrhythmias, Follow-Up, Nursing Care

摘要：

总结1例3型长QT间期综合征患者住院期间的护理及进行9年护理随访管理的经验。患者住院期间，做好症状鉴别与紧急处理。出院后随访的护理要点：做好用药宣教，避免使用诱发心电图QT间期延长的药物；实施预见性护理，提升患者自我管理技能；家属和医护人员共同制订家庭急救预案；家庭成员的健康管理。经过系统化的筛查、疾病知识宣教与跟踪随访，患者在出院后长期口服美托洛尔，未再发生心脏相关不良事件，心功能得到改善，随访期间恢复良好，能够按照要求进行自我监测，回归正常生活。

关键词: 长QT间期综合征, 心律失常, 随访, 护理