Biological correlates of QT interval and QT dispersion in 2, 265 patients with left ventricular ejection fraction ≤40%

  • Ramdas G. Pai
  • , Sriram Padmanabhan

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Abstract

Increased QT interval and QT dispersion have been associated with increased mortality in a variety of cardiovascular disorders including heart failure. However, the biological correlates of these abnormalities are not clear. QTc and QTd were measured in an automated fashion from digitized electrocardiograms in 2, 265 patients with an LV ejection fraction ≤40% and were related to clinical, electrocardiographic, and echocardiographic variables. The QTc interval increased with increasing age (P =.0003), heart rate (P <.0001), LV dimensions (P <.0001), left atrial diameter (P <.0001), estimated right atrial pressure (P <.0001), QRS duration (P <.0001), bundle branch blocks (P <.0001) and degree of mitral and tricuspid regurgitation (P <.0001) and decreasing LV ejection fraction (P <.0001) QT dispersion increased with increasing LV isovolumic relaxation time (P =.004) and QTc (P <.0001) and decreased with faster heart rate (P <.0001) and higher right atrial pressure (P =.0007). The biological relationships of QTc and QTd warrant further investigations.

Original languageEnglish
Pages (from-to)223-226
Number of pages4
JournalJournal of Electrocardiology
Volume35
Issue number3
DOIs
StatePublished - Jul 2002

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine

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