Çocuk Sağlığı ve Hastalıkları Dergisi 2004 , Vol 47 , Num 4
QT dispersion in patients with cystic fibrosis
Figen Akalın1, Canan Ayabakan2, Ömer Güran3, Refika Ersu4, Fazilet Karakoç4 Bülent Karadağ1, Elif Dağlı5
Marmara Üniversitesi Tıp Fakültesi 1Pediatri Yardımcı Doçenti, 2Pediatrik Kardiyoloji Uzmanı, 3Pediatri Araştırma Görevlisi, 4Pediatri Doçenti, 5Pediatri Profesörü Akalın F, Ayabakan C, Güran Ö, Ersu R, Karakoç F, Karadağ B, Dağlı E. (Department of Pediatrics, University Marmara Faculty of Medicine, İstanbul, Turkey). QT dispersion in patients with cystic fibrosis. Çocuk Sağlığı ve Hastalıkları Dergisi 2004; 47: 244-248.

Cystic fibrosis is a common ion channel disease. Chronic pulmonary disease may lead to lethal complications including cor pulmonale. Several factors may be effective in arrhythmogenesis in these patients, which can include hypoxemia, hypercapnia, cor pulmonale, right ventricular dilatation, and sympathomimetic drugs. Increased QT dispersion (QTd) is an indicator of heterogeneous ventricular repolarization and is useful for prediction of lehal arrhythmia. We evaluated the electrocardiograms of 22 cystic fibrosis patients (mean age ± SD, 11.89 ± 5.46 years) and 22 healthy controls (mean age ± SD, 11.81 ± 6.99 years) for QT dispersion. QT dispersion and corrected QT dispersion (QTcd) were significantly increased in patients with cystic fibrosis compared to the control group. QTd were 56 ± 15 msec and 34 ± 12 msec respectively (p<0.0001). QTcd were 63 ± 12 msec and 44 ± 15 msec respectively (p<0.0001). In conclusion, ventricular repolarization is more heterogeneous in patients with cystic fibrosis compared to healthy children and this may be related to the increased risk of ventricular arrhythmia. Anahtar Kelimeler : QT dispersiyonu, kistik fibrozis, aritmi, iyon kanalı defekti,QT dispersion, cystic fibrosis, arrhythmia, ion channel disease.

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