Year 2018, Volume 21, Issue 3, Pages 193 - 197 2018-12-02

Bipolar Bozukluk Hastalarında Lityum Tedavisinin Ventriküler Repolarizasyon Üzerine Etkileri
Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients

Cemil Zencir [1] , Kadir Karakuş [2] , Oktay Kocabaş [3] , Gökhan Bahtiyar [4] , Mithat Selvi [5] , Kayıhan Karaman [6]

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Giriş: Bipolar bozukluk (BD) dünyada önemli bir mental sağlık sorununudur. Bipolar bozukluk tedavisinde kullanılan ilaçların çoğu, ventriküler repolarizasyonun (VR) dağılımını etkileyerek hayatı tehdit eden aritmilere neden olabilir. VR genellikle QT aralığı ve T dalgası ölçümleri kullanılarak değerlendirilir. Bu çalışmanın amacı, Tp-e intervali ve Tp-e/QT oranını kullanarak VR’yi değerlendirmek ve bipolar bozukluğu olan hastalarda lityum tedavisi ve VR parametreleri arasındaki ilişkiyi araştırmaktır.

Hastalar ve Yöntem: Çalışmamıza lityum tedavisi alan 46 hasta ve 45 katılımcıdan oluşan kontrol grubu dahil edildi. Tp-e aralığı ve Tp-e/QT oranı 12-derivasyon elektrokardiyografi (EKG) kullanılarak ölçüldü. Bu parametreler gruplar arasında karşılaştırıldı.

Bulgular: Bipolar bozukluk olan hastalarda QT interval (p= 0.01), QTc interval (p = 0.003), Tp-e interval (p< 0.001) ve Tp-e / QT oranı (p= 0.009) kontrol grubuna göre anlamlı olarak yüksek bulundu. Tp-e intervali ile serum lityum düzeyleri arasında pozitif korelasyon vardı (r= 0.317, p< 0.032). Ayrıca artmış serum lityum seviyesi (β= 0.398, p= 0.007), uzun Tp-e aralığının bağımsız bir belirleyicisi olarak bulundu.

Sonuç: Uzamış Tp-e intervali, lityum tedavisi kullanan hastalarda artmış ventriküler aritmi riskinin yararlı bir göstergesi olabilir.

Introduction: Bipolar disorder (BD) is a significant mental health concern in the world. Most of the drugs used in the treatment of bipolar disease may cause life-threatening arrhythmias by affecting the distribution of ventricular repolarization (VR). VR is commonly assessed using QT interval and Twave measurements. The aim of this study was to evaluate VR using the T peak to T end (Tp-e) interval and the Tp-e/QT ratio and to investigate the relationship between lithium therapy and VR parameters in patients with BD.

Patients and Methods: Forty-six BD patients under lithium therapy and 45 participants in a control group were included in our study. The Tp-e interval and Tp-e/QT ratio were measured using 12derivation electrocardiography (ECG). These parameters were compared between groups.

Results: The QT interval (p= 0.01), QTc interval (p= 0.003), Tp-e interval (p< 0.001), and Tpe/QT ratio (p= 0.009) were significantly higher in patients with BD than in the control group. There was a positive correlation between the Tp-e interval and serum lithium levels (r= 0.317, p< 0.032). In addition, the increased serum lithium level (β= 0.398, p= 0.007) was found to be an independent predictor of the prolonged Tp-e interval.

Conclusion: Prolonged Tp-e interval may be a useful indicator of increased risk of ventricular arrhythmia in patients using lithium therapy.
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Primary Language en
Subjects Medicine
Journal Section Original Investigations
Authors

Author: Cemil Zencir (Primary Author)

Author: Kadir Karakuş

Author: Oktay Kocabaş

Author: Gökhan Bahtiyar

Author: Mithat Selvi

Author: Kayıhan Karaman

Bibtex @research article { khj494774, journal = {Koşuyolu Heart Journal}, issn = {2149-2972}, eissn = {2149-2980}, address = {Kartal Koşuyolu Yüksek İhtisas EAH}, year = {2018}, volume = {21}, pages = {193 - 197}, doi = {}, title = {Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients}, key = {cite}, author = {Zencir, Cemil and Karakuş, Kadir and Kocabaş, Oktay and Bahtiyar, Gökhan and Selvi, Mithat and Karaman, Kayıhan} }
APA Zencir, C , Karakuş, K , Kocabaş, O , Bahtiyar, G , Selvi, M , Karaman, K . (2018). Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients. Koşuyolu Heart Journal, 21 (3), 193-197. Retrieved from http://dergipark.org.tr/khj/issue/40963/494774
MLA Zencir, C , Karakuş, K , Kocabaş, O , Bahtiyar, G , Selvi, M , Karaman, K . "Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients". Koşuyolu Heart Journal 21 (2018): 193-197 <http://dergipark.org.tr/khj/issue/40963/494774>
Chicago Zencir, C , Karakuş, K , Kocabaş, O , Bahtiyar, G , Selvi, M , Karaman, K . "Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients". Koşuyolu Heart Journal 21 (2018): 193-197
RIS TY - JOUR T1 - Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients AU - Cemil Zencir , Kadir Karakuş , Oktay Kocabaş , Gökhan Bahtiyar , Mithat Selvi , Kayıhan Karaman Y1 - 2018 PY - 2018 N1 - DO - T2 - Koşuyolu Heart Journal JF - Journal JO - JOR SP - 193 EP - 197 VL - 21 IS - 3 SN - 2149-2972-2149-2980 M3 - UR - Y2 - 2019 ER -
EndNote %0 Koşuyolu Heart Journal Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients %A Cemil Zencir , Kadir Karakuş , Oktay Kocabaş , Gökhan Bahtiyar , Mithat Selvi , Kayıhan Karaman %T Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients %D 2018 %J Koşuyolu Heart Journal %P 2149-2972-2149-2980 %V 21 %N 3 %R %U
ISNAD Zencir, Cemil , Karakuş, Kadir , Kocabaş, Oktay , Bahtiyar, Gökhan , Selvi, Mithat , Karaman, Kayıhan . "Effects of Lithium Therapy on Ventricular Repolarization in Bipolar Disorder Patients". Koşuyolu Heart Journal 21 / 3 (December 2018): 193-197.