Dergiler / The Anatolian Journal of Cardiology / 2019 / Cilt: 22 - Sayı: 2

Evaluation of Tp–e interval, Tp–e/QT ratio, and Tp–e/QTc ratio in patients with Behçet’s disease

Sayfa
85–90
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Therefore, these patients should be more closely screened for ventricular arrhythmias. (Anatol J Cardiol 2019; 22: 85-90)

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: Behçet's disease (BD), a multisystemic inflammatory disorder, has been associated with a number of cardiovascular dysfunctions, including ventricular arrhythmias and sudden cardiac death.
📊
Temel Bulgular & Veri:The mechanism of increased ventricular arrhythmias in BD remains uncertain.
💡
Sonuç & Katkı:Therefore, these patients should be more closely screened for ventricular arrhythmias. (Anatol J Cardiol 2019; 22: 85-90)
🔬Tür:Araştırma Makalesi
📍Kapsam:2019 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: Behçet's disease (BD), a multisystemic inflammatory disorder, has been associated with a number of cardiovascular dysfunctions, including ventricular arrhythmias and sudden cardiac death. The mechanism of increased ventricular arrhythmias in BD remains uncertain. The aim of the present study was to assess the ventricular repolarization by using the Tp–e interval, Tp–e/QT ratio, and Tp–e/QTc ratio as candidate markers of ventricular arrhythmias in patients with BD.Methods: A total of 42 patients (mean age: 42.71±10.99 years) with BD and 50 sex- and age-matched healthy volunteers (mean age: 39.24±11.32 years) as the control group were evaluated. The risk of ventricular arrhythmia was evaluated by calculating the electrocardiographic, the Tp–e interval, and the QT, QTc, Tp–e/QT, and Tp–e/QTc ratios.Results: QTmax (p=0.005), QTcmax (p=0.015), QTmin (p=0.011), and QTcmin (p=0.024) were statistically significantly higher in the BD group than in the control group. The Tp–e, cTp–e, Tp–e/QT, and Tp–e/QTc ratios were also significantly higher in patients with BD than in the control group (80.26±4.55 and 74.74±6.47, respectively, p<0.001; 88.23±6.36 and 82.68±7.81, respectively, p<0.001; 0.21±0.01 and 0.20±0.01, respectively, p=0.008; and 0.19±0.01 and 0.18±0.01, respectively, p=0.01). Positive correlations were found between Tp–e/QTc ratio and disease duration (r=0.382, p=0.013).Conclusion: Our study showed that the Tp–e interval, Tp–e/QT ratio, and Tp–e/QTc ratio, which are evaluated electrocardiographically in patients with BD, have been prolonged compared with normal healthy individuals. A positive correlation was determined between disease duration and Tp–e/QTc ratio. These results may be indicative of an early subclinical cardiac involvement in patients with BD, considering the duration of the disease. Therefore, these patients should be more closely screened for ventricular arrhythmias. (Anatol J Cardiol 2019; 22: 85-90)

🔖

Bu Makaleye Atıf Yap

HİDAYET, Ş., DEMİR, V., TURAN, Y., GÜREL, G., TAŞOLAR, M. H. (2019). Evaluation of Tp–e interval, Tp–e/QT ratio, and Tp–e/QTc ratio in patients with Behçet’s disease. The Anatolian Journal of Cardiology, Cilt: 22 - Sayı: 2, 85–90. https://ajindex.com/articles/365733

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (15)

  1. Behçet H. Ueber rezidivierende aphtose, durch ein virus verursachte geschwure am mund, am auge und an den genitalien. Dermatol Wochenschr 1937; 105: 1152-7
  2. Akar H, Konuralp C, Akpolat T. Cardiovascular involvement in Behçet’s disease. Anadolu Kardiyol Derg 2003; 3: 261-5
  3. Nojiri C, Endo M, Kayanagi H. Conduction disturbance in Behçet's disease. Association with ruptured aneurysm of the sinus of valsalva into the left ventricular cavity. Chest 1984; 86: 636-8
  4. O’Duffy JD. Vasculitis in Behçet’s disease. Rheum Dis Clin North Am 1990; 16: 423-31
  5. Lakhanpal S, Tani K, Lie JT, Katoh K, Ishigatsubo Y, Ohokubo T. Pathologic features of Behçet's syndrome: a review of Japanese autopsy registry data. Hum Pathol 1985; 16: 790-5
  6. Morelli S, Perrone C, Ferrante L, Sgreccia A, Priori R, Voci P, et al. Cardiac involvement in Behçet’s disease. Cardiology 1997; 88: 513-7
  7. Göldeli O, Ural D, Komsuoğlu B, Ağaçdiken A, Dursun E, Cetinarslan B. Abnormal QT dispersion in Behçet’s disease. Int J Cardiol 1997; 61: 55-9
  8. Schiff S, Moffatt R, Mandel WJ, Rubin SA. Acute myocardial infarction and recurrent ventricular arrhythmias in Behçet’s syndrome. Am Heart J 1982; 103: 438-40
  9. Antzelevitch C, Shimizu W, Yan GX, Sicouri S. Cellular basis for QT dispersion. J Electrocardiol 1998; 30 Suppl: 168-75
  10. Kors JA, Ritsema van Eck HJ, van Herpen G. The meaning of the TpTe interval and its diagnostic value. J Electrocardiol 2008; 41: 575-80
  11. Antzelevitch C, Sicouri S, Di Diego JM, Burashnikov A, Viskin S, Shimizu W, et al. Does Tpeak-Tend provide an index of transmural dispersion of repolarization? Heart Rhythm 2007; 4: 1114-6
  12. Kaplan O, Kurtoglu E, Nar G, Yasar E, Gozubuyuk G, Dogan C, et al. Evaluation of Electrocardiographic T-peak to T-end Interval in Subjects with Increased Epicardial Fat Tissue Thickness. Arq Bras Cardiol 2015; 105: 566-72
  13. Aytemir K, Ozer N, Aksoyek S, Ozcebe O, Kabakci G, Oto A. Increased QT dispersion in the absence of QT prolongation in patients with Behcet’s disease and ventricular arrhythmias. Int J Cardiol 1998; 67: 171-5
  14. Sayin MR, Akpinar İ, Gursoy YC, Kiran S, Gudul NE, Karabag T, et al. Assessment of QRS duration and presence of fragmented QRS in patients with Behçet’s disease. Coron Artery Dis 2013; 24: 398-403. 15. [No authors listed]. Criteria for diagnosis of Behçet's disease. International Study Group for Behçet's Disease. Lancet 1990; 335: 1078-80
  15. Castro Hevia J, Antzelevitch C, Tornés Bárzaga F, Dor