Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients

Abstract INTRODUCTION: Concern regarding the cardiotoxicity of antimalarials has been renewed because of their potential to cause QT/QTc interval prolongation related to torsade de pointes (TdP). Artemisinin-piperaquine (AP) is considered an effective artemisinin-based combination therapy (ACT) fo...

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Main Authors: Wanting Wu, Yuan Liang, Guangchao Wu, Yinghang Su, Hongying Zhang, Zhenyan Zhang, Changsheng Deng, Qi Wang, Bo Huang, Bo Tan, Chongjun Zhou, Jianping Song
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2019-05-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100656&lng=en&tlng=en
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author Wanting Wu
Yuan Liang
Guangchao Wu
Yinghang Su
Hongying Zhang
Zhenyan Zhang
Changsheng Deng
Qi Wang
Bo Huang
Bo Tan
Chongjun Zhou
Jianping Song
author_facet Wanting Wu
Yuan Liang
Guangchao Wu
Yinghang Su
Hongying Zhang
Zhenyan Zhang
Changsheng Deng
Qi Wang
Bo Huang
Bo Tan
Chongjun Zhou
Jianping Song
author_sort Wanting Wu
collection DOAJ
description Abstract INTRODUCTION: Concern regarding the cardiotoxicity of antimalarials has been renewed because of their potential to cause QT/QTc interval prolongation related to torsade de pointes (TdP). Artemisinin-piperaquine (AP) is considered an effective artemisinin-based combination therapy (ACT) for malaria. METHODS: This study involved a retrospective analysis of clinical data of 93 hospitalized malaria patients who had received AP orally. Electrocardiograms (ECGs) were obtained at specific time points in the original study. RESULTS: Some cases of QT prolongation were observed. However, no TdP was found. CONCLUSIONS: AP may cause QT interval prolongation in some malaria patients but may not lead to TdP.
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spelling doaj.art-2fd4a0d399d04cb188d5f9d0f537066b2022-12-22T03:23:08ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492019-05-0152010.1590/0037-8682-0453-2018S0037-86822019000100656Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patientsWanting WuYuan LiangGuangchao WuYinghang SuHongying ZhangZhenyan ZhangChangsheng DengQi WangBo HuangBo TanChongjun ZhouJianping SongAbstract INTRODUCTION: Concern regarding the cardiotoxicity of antimalarials has been renewed because of their potential to cause QT/QTc interval prolongation related to torsade de pointes (TdP). Artemisinin-piperaquine (AP) is considered an effective artemisinin-based combination therapy (ACT) for malaria. METHODS: This study involved a retrospective analysis of clinical data of 93 hospitalized malaria patients who had received AP orally. Electrocardiograms (ECGs) were obtained at specific time points in the original study. RESULTS: Some cases of QT prolongation were observed. However, no TdP was found. CONCLUSIONS: AP may cause QT interval prolongation in some malaria patients but may not lead to TdP.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100656&lng=en&tlng=enECGQTArtemisinin-piperaquineMalariaCambodia
spellingShingle Wanting Wu
Yuan Liang
Guangchao Wu
Yinghang Su
Hongying Zhang
Zhenyan Zhang
Changsheng Deng
Qi Wang
Bo Huang
Bo Tan
Chongjun Zhou
Jianping Song
Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
Revista da Sociedade Brasileira de Medicina Tropical
ECG
QT
Artemisinin-piperaquine
Malaria
Cambodia
title Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
title_full Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
title_fullStr Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
title_full_unstemmed Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
title_short Effect of artemisinin-piperaquine treatment on the electrocardiogram of malaria patients
title_sort effect of artemisinin piperaquine treatment on the electrocardiogram of malaria patients
topic ECG
QT
Artemisinin-piperaquine
Malaria
Cambodia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100656&lng=en&tlng=en
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