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Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio

Year 2020, Volume: 4 Issue: 10, 887 - 890, 01.10.2020
https://doi.org/10.28982/josam.792850

Abstract

Aim: An increased risk of arrhythmia has been shown in patients with psoriatic arthritis (PsA). Tp-e interval and Tp-e/QT ratio are considered useful markers for the assessment of myocardial repolarization heterogeneity. In present study we aim to investigate the characteristics of ventricular repolarization on the basis of QTc interval and Tp-e/QTc ratio in patients PsA.
Methods: This cross-sectional observational study included patients with psoriatic arthritis who were over 18 years of age. A control group was created with healthy volunteers. The diagnosis of psoriatic arthritis were done according to the CASPAR criteria. QT interval, corrected QT (QTc), Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio were measured from the 12-lead electrocardiograms(ECG) of the PsA patients and control group.
Results: The study population consisted of 82 patients with PsA and 82 healthy volunteers. According to electrocardiographic parameters the heart rate was similar in both groups, but QT, QTc, Tp-e intervals; Tp-e /QT and Tp-e/ QTc ratios were significantly higher in the PsA group. The median Tp-e/QTc ratio of the patients with PsA was significantly higher than the median Tp-e/QTc ratio of the control group (0.21 (0.20-0.25) vs. 0.18 (0.17-0.19, P<0.001).
The correlation analysis showed a weak correlation between Tp-e/QTc ratio and CRP value (r=0.197, P=0.012).
Conclusions: This is the first study to demonstrate the prolongation of the Tp-e/QTc ratio in patients with PsA. Prospective clinical studies to observe clinical importance of this finding particularly with regard to the arrhythmias and sudden death may be more valuable.

References

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Psöriatik artrit, QTc aralığı ve Tp-e/QTc oranı ile değerlendirilen miyokardiyal repolarizasyon düzensizliği ile ilişkilidir

Year 2020, Volume: 4 Issue: 10, 887 - 890, 01.10.2020
https://doi.org/10.28982/josam.792850

Abstract

Amaç: Psoriatik artritli (PsA) hastalarda aritmi riski artışı olduğu gösterilmiştir. Tp-e aralığı ve Tp-e/QT oranı, miyokardiyal repolarizasyon heterojenitesinin değerlendirilmesinde yararlı belirteçler olarak kabul edilmektedir. Bu çalışmada PsA hastalarında QTc aralığı ve Tp-e/QTc oranı temelinde ventriküler repolarizasyonun özelliklerini incelemeyi amaçladık.
Yöntemler: Bu kesitsel gözlemsel çalışmaya 18 yaşın üzerinde psoriatik artritli hastalar dahil edildi. Sağlıklı gönüllülerden bir kontrol grubu oluşturuldu. Psoriatik artrit tanısı CASPAR kriterlerine göre yapıldı. PsA hastalarının ve kontrol grubunun 12 kanallı elektrokardiyogramlarından (EKG) QT aralığı, düzeltilmiş QT (QTc), Tp-e aralığı, Tp-e/QT oranı ve Tp-e/QTc oranı ölçüldü.
Bulgular: Çalışma popülasyonu 82 PsA hastası ve 82 sağlıklı gönüllüden oluşuyordu. Elektrokardiyografik parametrelere göre kalp hızı her iki grupta da benzerdi, ancak QT, QTc, Tp-e aralıkları; Tp-e/QT ve Tp-e/QTc oranları PsA grubunda anlamlı olarak yüksekti. PsA'lı hastaların medyan Tp-e/QTc oranı, kontrol grubunun medyan Tp-e/QTc oranından (0,21 (0,20-0,25) ve 0,18 (0,17-0,19, P<0,001) anlamlı olarak daha yüksekti.
Korelasyon analizi Tp-e/QTc oranı ile CRP değeri arasında zayıf bir korelasyon gösterdi (r=0,197, P=0,012).
Sonuçlar: Bu çalışma PsA hastalarında Tp-e/QTc oranının uzadığını gösteren ilk çalışmadır. Bu bulgunun özellikle aritmiler ve ani ölüm açısından klinik önemini gözlemlemeye yönelik ileriye dönük klinik çalışmalar daha değerli olabilir.

References

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  • 3. Wilson FC, Icen M, Crowson CS, McEvoy MT, Gabriel SE, Kremers HM. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. 2009;61(2):233-9. Epub 2009/01/30. doi: 10.1002/art.24172. PubMed PMID: 19177544; PubMed Central PMCID: PMCPMC3061343.
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  • 13. Han C, Robinson DW, Jr., Hackett MV, Paramore LC, Fraeman KH, Bala MV. Cardiovascular disease and risk factors in patients with rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. J Rheumatol. 2006;33(11):2167-72. Epub 2006/09/19. PubMed PMID: 16981296.
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  • 16. Gupta P, Patel C, Patel H, Narayanaswamy S, Malhotra B, Green JT, et al. T(p-e)/QT ratio as an index of arrhythmogenesis. J Electrocardiol. 2008;41(6):567-74. Epub 2008/09/16. doi: 10.1016/j.jelectrocard.2008.07.016. PubMed PMID: 18790499.
  • 17. Kors JA, Ritsema van Eck HJ, van Herpen G. The meaning of the Tp-Te interval and its diagnostic value. J Electrocardiol. 2008;41(6):575-80. Epub 2008/10/29. doi: 10.1016/j.jelectrocard.2008.07.030. PubMed PMID: 18954608.
  • 18. Smetana P, Schmidt A, Zabel M, Hnatkova K, Franz M, Huber K, et al. Assessment of repolarization heterogeneity for prediction of mortality in cardiovascular disease: peak to the end of the T wave interval and nondipolar repolarization components. J Electrocardiol. 2011;44(3):301-8. Epub 2011/04/23. doi: 10.1016/j.jelectrocard.2011.03.004. PubMed PMID: 21511064.
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  • 20. Erikssen G, Liestol K, Gullestad L, Haugaa KH, Bendz B, Amlie JP. The terminal part of the QT interval (T peak to T end): a predictor of mortality after acute myocardial infarction. Ann Noninvasive Electrocardiol. 2012;17(2):85-94. Epub 2012/04/28. doi: 10.1111/j.1542-474X.2012.00493.x. PubMed PMID: 22537325; PubMed Central PMCID: PMCPMC6932507.
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  • 22. Hidayet S, Demir V, Turan Y, Gurel G, Tasolar MH. Evaluation of Tp-e interval, Tp-e/QT ratio, and Tp-e/QTc ratio in patients with Behcet's disease. Anatol J Cardiol. 2019;22(2):85-90. Epub 2019/08/04. doi: 10.14744/AnatolJCardiol.2019.70019. PubMed PMID: 31375650; PubMed Central PMCID: PMCPMC6735444.
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There are 39 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery, Rheumatology and Arthritis
Journal Section Research article
Authors

Hilal Erken Pamukcu 0000-0001-8116-5090

Melih Pamukcu 0000-0002-9129-0503

Publication Date October 1, 2020
Published in Issue Year 2020 Volume: 4 Issue: 10

Cite

APA Erken Pamukcu, H., & Pamukcu, M. (2020). Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio. Journal of Surgery and Medicine, 4(10), 887-890. https://doi.org/10.28982/josam.792850
AMA Erken Pamukcu H, Pamukcu M. Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio. J Surg Med. October 2020;4(10):887-890. doi:10.28982/josam.792850
Chicago Erken Pamukcu, Hilal, and Melih Pamukcu. “Psoriatic Arthritis Is Associated With Myocardial Repolarization Dysregulation As Assessed by the QTc Interval and the Tp-e/QTc Ratio”. Journal of Surgery and Medicine 4, no. 10 (October 2020): 887-90. https://doi.org/10.28982/josam.792850.
EndNote Erken Pamukcu H, Pamukcu M (October 1, 2020) Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio. Journal of Surgery and Medicine 4 10 887–890.
IEEE H. Erken Pamukcu and M. Pamukcu, “Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio”, J Surg Med, vol. 4, no. 10, pp. 887–890, 2020, doi: 10.28982/josam.792850.
ISNAD Erken Pamukcu, Hilal - Pamukcu, Melih. “Psoriatic Arthritis Is Associated With Myocardial Repolarization Dysregulation As Assessed by the QTc Interval and the Tp-e/QTc Ratio”. Journal of Surgery and Medicine 4/10 (October 2020), 887-890. https://doi.org/10.28982/josam.792850.
JAMA Erken Pamukcu H, Pamukcu M. Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio. J Surg Med. 2020;4:887–890.
MLA Erken Pamukcu, Hilal and Melih Pamukcu. “Psoriatic Arthritis Is Associated With Myocardial Repolarization Dysregulation As Assessed by the QTc Interval and the Tp-e/QTc Ratio”. Journal of Surgery and Medicine, vol. 4, no. 10, 2020, pp. 887-90, doi:10.28982/josam.792850.
Vancouver Erken Pamukcu H, Pamukcu M. Psoriatic arthritis is associated with myocardial repolarization dysregulation as assessed by the QTc interval and the Tp-e/QTc ratio. J Surg Med. 2020;4(10):887-90.