Evaluation of Cardiac Repolarization Indices in Well-Controlled Partial Epilepsy: 12-Lead ECG Findings

Yükleniyor...
Küçük Resim

Tarih

2010

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Elsevier

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Purpose: To evaluate the cardiac repolarization indices in terms of QT intervals in patients with well-controlled partial epilepsy. Methods: Seventy-six adult patients with well-controlled partial epilepsy and 66 healthy controls were enrolled into the study. 12-Lead ECGs were obtained from all participants. Corrected QT (QTc) intervals including maximum QTc (QTmaxc), minimum QTc (QTminc) and QTc dispersion (QTcd) were calculated. Results: QTmaxc and QTcd intervals were significantly longer in the epilepsy group when compared to control group (439 +/- 27 ms vs. 422 +/- 25 ms, p < 0.001 and 55 +/- 18 ms vs. 41 +/- 18 ms, p < 0.001). The proportion of patients with pathologically prolonged QTcd intervals (>50 ms) was significantly higher in the epilepsy group (25 of 76 vs. 7 of 66, p = 0.002). QTmaxc was significantly correlated with age (beta = 0.29, p = 0.012) after adjusting for gender, body mass index and duration of epilepsy. No correlation was observed between the duration of epilepsy and any of the QT intervals. There were no significant differences between the subgroups regarding QT intervals according to the etiology of the seizures (symptomatic/cryptogenic), being on mono- or polytherapy and treatment regimens (carbamazepine/non-carbamazepine). Conclusion: The results highlight the importance of cardiac evaluation even in patients with well-controlled epilepsy. 12-lead ECG recordings might help to uncover serious cardiovascular events.

Açıklama

Anahtar Kelimeler

Well-controlled epilepsy, Cardiac repolarization indices, Corrected QT interval, QT dispersion, 12-lead ECG

Kaynak

Epilepsy Research

WoS Q Değeri

Q2

Scopus Q Değeri

Q2

Cilt

90

Sayı

Künye

Apaydın Doğan, E., Doğan, U., Ünal Yıldız, G., Akıllı, H., Genç, E., Genç, B. O., Gök, H., (2010). Evaluation of Cardiac Repolarization Indices in Well-Controlled Partial Epilepsy: 12-Lead ECG Findings. Epilepsy Research, (90), 157-163. Doi: 10.1016/j.eplepsyres.2010.04.008