Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children

INTRODUCTION: Patients who have electrical accidents can apply to hospital with clinical signs ranging from simple skin burns to serious organ injuries. Our aim in this study is to evaluate whether QT, QTc interval and QT/QTc, Tp-e/QT, Tp-e/QTc ratios can be a marker for determine the risk of arrhyt...

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Main Authors: Sinem Sarı Gökay, Şener Çınıçev
Format: Article
Language:English
Published: Rabia Yılmaz 2021-03-01
Series:Journal of Contemporary Medicine
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1521614
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author Sinem Sarı Gökay
Şener Çınıçev
author_facet Sinem Sarı Gökay
Şener Çınıçev
author_sort Sinem Sarı Gökay
collection DOAJ
description INTRODUCTION: Patients who have electrical accidents can apply to hospital with clinical signs ranging from simple skin burns to serious organ injuries. Our aim in this study is to evaluate whether QT, QTc interval and QT/QTc, Tp-e/QT, Tp-e/QTc ratios can be a marker for determine the risk of arrhythmias in children in cases of electric shock injuries that can be fatal. MATERIAL METHOD: In our study, 36 patients who were admitted to pediatric emergency with an electric shock between July 2018 and September 2019 and followed up in our clinic were included. As a control group, 25 healthy patients were included in the study. The files of the patients were examined retrospectively ECG (electrocardiogram) findings in leads DII and V5 were recorded. RESULTS: Thirty-six (41%) patients who were admitted to our study due to electrical shock and followed up in our pediatric emergency were included. Sinus tachycardia was observed in two patients and no arrhythmias were detected in others. There was no statistically significant difference between the two groups between QT, QTc interval and QT/QTc, Tp-e/QT and Tp-e/QTc ratios measured in DII and V5 leads on ECG (p> 0.05). There was no statistically significant difference between ECG findings by gender(p> 0.05). CONCLUSION: Electric shock can cause life-threatening situations by causing fatal arrhythmia. Although ECG findings are used to determine cardiac arrhythmia, it should be shown whether QT, QTc interval and Tp-e/QT, Tp-e/QTc ratios are significant arrhythmogenic markers by prospective studies in more specific age groups.
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spelling doaj.art-50761c1b2a6e4ade805d06dbe163d4c72023-03-24T19:43:24ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-03-0111223223610.16899/jcm.8650001809Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in childrenSinem Sarı Gökay0Şener Çınıçev1ADANA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİ, ÇOCUK SAĞLIĞI VE HASTALIKLARIADANA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİINTRODUCTION: Patients who have electrical accidents can apply to hospital with clinical signs ranging from simple skin burns to serious organ injuries. Our aim in this study is to evaluate whether QT, QTc interval and QT/QTc, Tp-e/QT, Tp-e/QTc ratios can be a marker for determine the risk of arrhythmias in children in cases of electric shock injuries that can be fatal. MATERIAL METHOD: In our study, 36 patients who were admitted to pediatric emergency with an electric shock between July 2018 and September 2019 and followed up in our clinic were included. As a control group, 25 healthy patients were included in the study. The files of the patients were examined retrospectively ECG (electrocardiogram) findings in leads DII and V5 were recorded. RESULTS: Thirty-six (41%) patients who were admitted to our study due to electrical shock and followed up in our pediatric emergency were included. Sinus tachycardia was observed in two patients and no arrhythmias were detected in others. There was no statistically significant difference between the two groups between QT, QTc interval and QT/QTc, Tp-e/QT and Tp-e/QTc ratios measured in DII and V5 leads on ECG (p> 0.05). There was no statistically significant difference between ECG findings by gender(p> 0.05). CONCLUSION: Electric shock can cause life-threatening situations by causing fatal arrhythmia. Although ECG findings are used to determine cardiac arrhythmia, it should be shown whether QT, QTc interval and Tp-e/QT, Tp-e/QTc ratios are significant arrhythmogenic markers by prospective studies in more specific age groups.https://dergipark.org.tr/tr/download/article-file/1521614tp-e/qtcelectrical injurychildrentp-e/qtcelektrik yaralanmasıçocuk
spellingShingle Sinem Sarı Gökay
Şener Çınıçev
Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
Journal of Contemporary Medicine
tp-e/qtc
electrical injury
children
tp-e/qtc
elektrik yaralanması
çocuk
title Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
title_full Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
title_fullStr Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
title_full_unstemmed Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
title_short Evaluation of Tp-e / QTc ratio in determining the risk of arrhythmia in electric shocks in children
title_sort evaluation of tp e qtc ratio in determining the risk of arrhythmia in electric shocks in children
topic tp-e/qtc
electrical injury
children
tp-e/qtc
elektrik yaralanması
çocuk
url https://dergipark.org.tr/tr/download/article-file/1521614
work_keys_str_mv AT sinemsarıgokay evaluationoftpeqtcratioindeterminingtheriskofarrhythmiainelectricshocksinchildren
AT senercınıcev evaluationoftpeqtcratioindeterminingtheriskofarrhythmiainelectricshocksinchildren