Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries
Aim: The purpose of this study was to examine changes in cardiac monitoring, electrocardiography (ECG), or cardiac enzymes and, specifically, changes in the TpTe interval and TpTe/QT ratio in patients who presented with electrical injuries.Materials and Methods: All patients aged over 18 years who h...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2016-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
| Subjects: | |
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http://akademikaciltip.com/archives/archive-detail/article-preview/nvestigation-of-electrocardiography-changes-and-sp/21813
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| author | Yahya Kemal Günaydın Can Gökay Yıldız Ahmet Çağlar Nazire Belgin Akıllı Ramazan Köylü Başar Cander |
| author_facet | Yahya Kemal Günaydın Can Gökay Yıldız Ahmet Çağlar Nazire Belgin Akıllı Ramazan Köylü Başar Cander |
| author_sort | Yahya Kemal Günaydın |
| collection | DOAJ |
| description | Aim: The purpose of this study was to examine changes in cardiac monitoring, electrocardiography (ECG), or cardiac enzymes and, specifically, changes in the TpTe interval and TpTe/QT ratio in patients who presented with electrical injuries.Materials and Methods: All patients aged over 18 years who had visited the Emergency Medicine Clinic between January 2011 and January 2014 because of electrical injuries and who were monitored for more than 24 h were included.Results: Seventy patients were included in the trial. ECG changes were present in 19 patients (27.1%) at various time points (0th, 6th, 12th, and 24th hour). The TpTe intervals of the patients at the time points were 64.5 (IQR: 21.25), 65 (IQR: 21.5), 64 (IQR: 20), and 64 (IQR: 20) ms, respectively, which were within the normal range. Although a statistical difference was present (p=0.033), superior analyses showed no significant difference among the groups. The TpTe/QT ratios of the patients were 0.18 (0.07), 0.18 (0.05), 0.18 (0.06), 0.18 (0.05), respectively, which were within the normal range (p=0.105). We compared the TpTe intervals and TpTe/QT ratios of patients with and without ECG changes and found that no statistically significant difference was present at all time points. Besides this, no difference in the TpTe intervals and TpTe/QT ratios was identified between the groups with elevated and non-elevated troponin levels.Conclusion:The use of TpTe intervals and TpTe/QT ratios may not be the correct approach for predicting potential rhythm disorders in electrical injuries. In addition, there is no association of the TpTe interval or the TpTe/QT ratio with ECG changes or troponin elevation caused by electrical injuries. |
| first_indexed | 2024-04-10T13:23:20Z |
| format | Article |
| id | doaj.art-3e5c3c25f27d4df6b84b50c57dc4fb11 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T13:23:20Z |
| publishDate | 2016-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-3e5c3c25f27d4df6b84b50c57dc4fb112023-02-15T16:11:57ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482016-09-0115313914310.5152/eajem.2016.0299613049054Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical InjuriesYahya Kemal Günaydın0Can Gökay Yıldız1Ahmet Çağlar2Nazire Belgin Akıllı3Ramazan Köylü4Başar Cander5 Department of Emergency Medicine, Ankara Training and Research Hospital, Ankara, Turkey Department of Emergency Medicine, Konya Training and Research Hospital, Konya, Turkey Department of Emergency Medicine, Konya Training and Research Hospital, Konya, Turkey Department of Emergency Medicine, Konya Training and Research Hospital, Konya, Turkey Department of Emergency Medicine, Konya Training and Research Hospital, Konya, Turkey Department of Emergency Medicine, Necmettin Erbakan University School of Medicine, Konya, Turkey Aim: The purpose of this study was to examine changes in cardiac monitoring, electrocardiography (ECG), or cardiac enzymes and, specifically, changes in the TpTe interval and TpTe/QT ratio in patients who presented with electrical injuries.Materials and Methods: All patients aged over 18 years who had visited the Emergency Medicine Clinic between January 2011 and January 2014 because of electrical injuries and who were monitored for more than 24 h were included.Results: Seventy patients were included in the trial. ECG changes were present in 19 patients (27.1%) at various time points (0th, 6th, 12th, and 24th hour). The TpTe intervals of the patients at the time points were 64.5 (IQR: 21.25), 65 (IQR: 21.5), 64 (IQR: 20), and 64 (IQR: 20) ms, respectively, which were within the normal range. Although a statistical difference was present (p=0.033), superior analyses showed no significant difference among the groups. The TpTe/QT ratios of the patients were 0.18 (0.07), 0.18 (0.05), 0.18 (0.06), 0.18 (0.05), respectively, which were within the normal range (p=0.105). We compared the TpTe intervals and TpTe/QT ratios of patients with and without ECG changes and found that no statistically significant difference was present at all time points. Besides this, no difference in the TpTe intervals and TpTe/QT ratios was identified between the groups with elevated and non-elevated troponin levels.Conclusion:The use of TpTe intervals and TpTe/QT ratios may not be the correct approach for predicting potential rhythm disorders in electrical injuries. In addition, there is no association of the TpTe interval or the TpTe/QT ratio with ECG changes or troponin elevation caused by electrical injuries. http://akademikaciltip.com/archives/archive-detail/article-preview/nvestigation-of-electrocardiography-changes-and-sp/21813 Electrical injurieselectrocardiographyTpTe interval |
| spellingShingle | Yahya Kemal Günaydın Can Gökay Yıldız Ahmet Çağlar Nazire Belgin Akıllı Ramazan Köylü Başar Cander Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries Eurasian Journal of Emergency Medicine Electrical injuries electrocardiography TpTe interval |
| title | Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries |
| title_full | Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries |
| title_fullStr | Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries |
| title_full_unstemmed | Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries |
| title_short | Investigation of Electrocardiography Changes and, Specifically, Changes in the TpTe Interval and TpTe/QT Ratio in Patients Presenting with Electrical Injuries |
| title_sort | investigation of electrocardiography changes and specifically changes in the tpte interval and tpte qt ratio in patients presenting with electrical injuries |
| topic | Electrical injuries electrocardiography TpTe interval |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/nvestigation-of-electrocardiography-changes-and-sp/21813
|
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