It's possible: It is possible to pick up a long QT syndrome, without any episodes of passing out or rhythm problems. Generally, you'd expect a QTc over 500 ms, before changes in treatment; however, you should see a heart rhythm specialist, or cardiologist, if QTc is unexpectedly prolonged. Medications, gender, and heart rate can also affect your QT interval. Holter measurements may be less reliable than ECG.
Answered 9/30/2014
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