You see a patient in the pre-op clinic. He is on propranolol for treatment of long QT syndrome. Which of the following will give the best reassurance that his treatment is effective?
a. normal QT interval on resting ECG
b. no change in QT interval with valsalva
c. HR less than 60
d. no arrhythmias on 24h holter monitor
e. decreased QT interval in response to a valsalva manoeuvre
Answer: B