1
Department of Cardiology, Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, I.R.Iran.
2
Departmentof Biostatistics, Guilan University of Medical Sciences, Rasht, I.R.Iran.
3
Department of Cardiology, Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, I.R.Iran
4
Department of Nursing Instructor, Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, I.R.Iran.
Abstract
Background:Electrocardiographic parameters for the detection of left ventricular hypertrophy (LVH) asan independent cardiovascular risk factor and signifier end-organ damage in patients with hypertensionare known. The aim of this study was to evaluate the relation between QT interval parameters and LVH in patients with hypertension.Methods:This cross-sectional study recruited100 patients with primary hypertension who underwent cardiac echocardiography for the evaluationof left ventricular mass (LVM). Standard 12-lead electrocardiography was performed for all the patients,and QT interval parameters (QTmax, QTcmax, QTd[dispersion], and QTdF[difference between maximum and minimum QT intervals])were calculated. The data were analyzed using SPSS (version 18). The t-test wasapplied to assesstherelationship between QT parameters and left ventricular mass index (LVMI),and the receiver operating characteristic(ROC)curve was drawn to determine thecutoffpoint forthe mentioned electrocardiographictest.Results:The mean age ofthepatients was 60.52±9.74 years. The meanof QTd, QTmax,and QTcdin the patients with LVH was significantly greater thanthat of thepatients without LVH (P<0.05). ROC curve analyses of QT interval parameters showed thatthecutoffpointsfor QTmax, QTd, QTcmax,and QTcdvalues were420(specificity=0.79 and sensitivity=0.40), 50 (specificity=0.58 and sensitivity=0.76), 478 (specificity=0.29 and sensitivity=0.58), and 59 (specificity=0.65 and sensitivity=0.76), respectively. Conclusions:According to our findings, QTcdandQTcwould be better testsforthedetection of LVH. We recommend further research with larger sample sizes to obtain more generalizable findings. (Iranian Heart Journal 2015; 16(4): 35-40)
Salari,A , Mirblook,F , Heidarnezhad,Z , Atrkar-Roshan,Z , Saadati,F and Moaddab,F . (2015). QT Interval Parameters: A Screen Test for Left Ventricular Hypertrophy Detection. Iranian Heart Journal, 16(4), 35-40.
MLA
Salari,A , , Mirblook,F , , Heidarnezhad,Z , , Atrkar-Roshan,Z , , Saadati,F , and Moaddab,F . "QT Interval Parameters: A Screen Test for Left Ventricular Hypertrophy Detection", Iranian Heart Journal, 16, 4, 2015, 35-40.
HARVARD
Salari A, Mirblook F, Heidarnezhad Z, Atrkar-Roshan Z, Saadati F, Moaddab F. (2015). 'QT Interval Parameters: A Screen Test for Left Ventricular Hypertrophy Detection', Iranian Heart Journal, 16(4), pp. 35-40.
CHICAGO
A Salari, F Mirblook, Z Heidarnezhad, Z Atrkar-Roshan, F Saadati and F Moaddab, "QT Interval Parameters: A Screen Test for Left Ventricular Hypertrophy Detection," Iranian Heart Journal, 16 4 (2015): 35-40,
VANCOUVER
Salari A, Mirblook F, Heidarnezhad Z, Atrkar-Roshan Z, Saadati F, Moaddab F. QT Interval Parameters: A Screen Test for Left Ventricular Hypertrophy Detection. Iranian Heart Journal. 2015;16(4):35-40.