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hello and welcome to this months heart of the matter brought to you by mayo clinic and the SADS foundation the sudden arrhythmia death syndromes foundation Im dr. Michael Ackerman and I am the director of Mayo Clinics long QT syndrome clinic and the winless Smith rice sudden death genomics laboratory and of the president of the SATs foundation this months heart of the matter question asking what does the warning sign faint look like what about fainting after a long QT syndrome diagnosis thank you very much for this question this is actually one of the most important questions and that we wrestle with when we are evaluating a family for possible long QT syndrome and hearing the story of their fainting spell as many of you know the most common first symptom that Elle patient with long QT syndrome can have is a sudden faint followed by waking up now that faint the faint of long QT syndrome that is the result of the long QT heart spinning electrically out of control is a very very diff