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The Role of the QT Interval in the Sudden Infant Death Syndrome

To evaluate the role of QT interval prolongation in the genesis of the sudden infant death syndrome (SIDS), the postresuscitation electrocardiograms of 21 aborted SIDS infants were reviewed. The infants had been found apneic, cyanotic, limp and unresponsive during sleep and required vigorous physical stimulation and mouth-to-mouth resuscitation. Three subsequently experienced repeat similar episodes from which they could not be resuscitated. Extensive studies eliminated all “known” etiologies for death. The QT intervals of these infants were compared to age and sex matched normal infants as well as to established normal values in the literature; in both the aborted and the subsequent actual SIDS infants, the QT intervals were not significantly different from those of the normal population. Thus, we conclude that QT interval prolongation does not play a major role in the genesis of the aborted SIDS.