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Living with Congenital long QT syndrome

A heart rhythm condition in which the heart takes longer than usual to recharge between beats.

Understanding Congenital long QT syndrome

Congenital long QT syndrome (Romano-Ward syndrome) is a heart rhythm condition in which the heart muscle takes longer than usual to recharge between beats.

The long recharge time shows up on a heart test called an ECG (EKG) as a long QT interval. It can lead to abnormal heart rhythms (arrhythmia), fainting, or cardiac arrest. Some people with it never have any health problems. GARD describes fifteen types, based on genetic cause. Romano-Ward syndrome covers the types that involve only the long QT interval.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary mentions fainting (syncope) and abnormal heart rhythms, and some people have no problems at all.

  • Fainting (syncope)
  • Abnormal heart rhythm (arrhythmia)
  • Long QT interval on a heart test (ECG)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of long QT syndrome do I or my child have?
Would genetic testing help me and my family members?
Which heart specialist should follow us, and how often?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes cause this condition, and the type is defined by which gene is involved. It can be inherited in an autosomal dominant way (one changed copy is enough) or an autosomal recessive way (a changed copy from each parent).

Genetic

Also known as: familial long qt syndrome; hereditary long qt syndrome; inherited long qt syndrome; lqts; romano-ward long qt syndrome; romano-ward syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital long QT syndromeGARD ID 16547 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital long QT syndrome.

Explore the Congenital long QT syndrome blog

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Explore actively recruiting Congenital long QT syndrome studies with HealthSpark.

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