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A genetic disease of the electrical system of the heart that consists of a constellation of signs and symptoms, consisting of a short QT interval on an EKG (< 300 ms) that does not significantly change with heart rate, tall and peaked T waves, and a structurally normal heart. Short QT syndrome appears to be inherited in an autosomal dominant pattern, and a few affected families have been identified
Features include always present findings: Shortened QT interval; and very common findings: Bradycardia. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 6 | Bradycardia, Atrial fibrillation, Sudden cardiac death |
Andersen-Tawil syndrome (ATS) should be suspected in individuals with either A or B: A. Presence of two of the following three criteria:
Periodic paralysis
Symptomatic cardiac arrhythmias or electrocardiographic evidence of enlarged U-waves, ventricular ectopy, or a prolonged QTc or QUc interval
No approved treatments are currently available for short QT syndrome. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with Andersen-Tawil syndrome (ATS), the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 2. Recommended Evaluations Following Initial Diagnosis in Individuals with ATS
For asymptomatic individuals with a KCNJ2 pathogenic variant, annual screening including a 12-lead EKG and 24-hour Holter monitoring is desirable, followed by referral to a cardiologist if abnormalities are identified.
Source: GeneReviews — "Andersen-Tawil Syndrome"
Phenotype severity distribution: 1 always present feature, 1 very common feature, 2 common features.
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
61 publications have been identified in PubMed for short QT syndrome. Research spans Basic Science / Preclinical (25%), Case Report / Case Series (21%), and Review / Meta-Analysis (18%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 15 | 25% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 11:55 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Andersen-Tawil syndrome (ATS) is characterized by a triad of features:
Episodic flaccid muscle weakness (periodic paralysis)
Cardiac abnormalities (ventricular arrhythmias, prolonged QTc or QUc intervals, and prominent U waves)
Distinctive dysmorphic features
Source: GeneReviews — "Andersen-Tawil Syndrome"
Low-set ears
Widely spaced eyes
Small mandible
Fifth-digit clinodactyly
Syndactyly of toes 2 and 3
B. One of the above three criteria AND at least one other family member who meets two of the three criteria
Individuals with either episodic weakness or cardiac symptoms require careful evaluation by a neurologist and/or cardiologist as well as measurement of serum potas...
Source: GeneReviews — "Andersen-Tawil Syndrome"
Andersen-Tawil syndrome (ATS) should be considered in any individual presenting with periodic paralysis and ventricular arrhythmias or prominent U wave or prolonged QTc. Individuals with either episodic weakness or cardiac symptoms require careful evaluation by a neurologist and/or cardiologist as well as measurement of serum potassium concentration (baseline and during attacks of flaccid paralysis), a 12-lead EKG, a 24-hour Holter monitor, and possibly the long exercise protocol. The differential diagnosis depends on the initial presentation and includes the primary and secondary periodic paralyses, thyrotoxic periodic paralysis, and conditions associated with long QT.
Hypokalemic periodic paralysis is the most common periodic paralysis. Affected individuals ma...
Source: GeneReviews — "Andersen-Tawil Syndrome"
Biomarker and diagnostic research for short QT syndrome has been reported in the published literature.
Organ System |
|---|
Evaluation |
|---|
Comment |
|---|
Cardiovascular | Baseline assessment | Performed by cardiologist familiar w/LQT management 12-lead EKG 24-hour Holter monitor Serum potassium concentrations |
Neurologic | Baseline assessment | Performed by neurologist familiar w/periodic paralysis Electrophysiologic studies incl long exercise protocol |
Dental | Baseline assessment for dental abnormalities assoc w/ATS | Follow up as needed |
Musculoskeletal | Baseline assessment to establish care w/orthopedist / spine surgeon if scoliosis identified | Follow up as needed Miscellaneous/ |
Other | Serum TSH concentration | Verification that serum TSH concentration is w/in normal limits Consultation w/clinical geneticist /or genetic counselor |
Source: GeneReviews — "Andersen-Tawil Syndrome"
Affected individuals should avoid medications known to prolong QT intervals. See CredibleMeds® for a complete and updated list (free registration required). Salbutamol inhalers, which may be used in the treatment of primary hyperkalemic periodic paralysis, should be avoided because of the potential for exacerbation of cardiac arrhythmias. Thiazide and other potassium-wasting diuretics may provoke drug-induced hypokalemia and could aggravate the QT interval prolongation.
Source: GeneReviews — "Andersen-Tawil Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Andersen-Tawil Syndrome"
1 trial found
Estimated prevalence: Unknown (Unknown prevalence).
Patient case studies |
13 |
21% |
Research summaries | 11 | 18% |
Disease patterns and progression | 10 | 16% |
Clinical study results | 6 | 10% |
New treatment approaches | 4 | 7% |
Other research | 1 | 2% |
Testing and diagnosis research | 1 | 2% |
Bouzón P (2026). [PMID: 42123196](https://pubmed.ncbi.nlm.nih.gov/42123196/). *J Clin Med*. [Epidemiology / Natural History]
Gollob MH (2026). [PMID: 42217597](https://pubmed.ncbi.nlm.nih.gov/42217597/). *Heart Rhythm*. [Other]
Gaita F (2026). [PMID: 42209102](https://pubmed.ncbi.nlm.nih.gov/42209102/). *Heart Rhythm*. [Review / Meta-Analysis]
Aytekin Güvenir F (2026). [PMID: 42194195](https://pubmed.ncbi.nlm.nih.gov/42194195/). *Children (Basel)*. [Case Report / Case Series]
Hamdani N (2026). [PMID: 41263495](https://pubmed.ncbi.nlm.nih.gov/41263495/). *European heart journal*. [Gene Therapy / Novel Therapeutics]
Qu N (2026). [PMID: 41819279](https://pubmed.ncbi.nlm.nih.gov/41819279/). *The Canadian journal of cardiology*. [Case Report / Case Series]
Turan B (2026). [PMID: 41396683](https://pubmed.ncbi.nlm.nih.gov/41396683/). *Canadian journal of physiology and pharmacology*. [Epidemiology / Natural History]
Meng Z (2026). [PMID: 41780556](https://pubmed.ncbi.nlm.nih.gov/41780556/). *European heart journal*. [Basic Science / Preclinical]
Bidzimou MK (2026). [PMID: 41948929](https://pubmed.ncbi.nlm.nih.gov/41948929/). *JCI Insight*. [Basic Science / Preclinical]
Fukue N (2026). [PMID: 42028086](https://pubmed.ncbi.nlm.nih.gov/42028086/). *HeartRhythm Case Rep*. [Case Report / Case Series]