Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis

Background T‐wave peak to T‐wave end interval (Tp‐e) correlates with dispersion of ventricular repolarization. The purpose of this study was to assess the ability of Tp‐e to predict appropriate implantable cardioverter defibrillator (ICD) shocks and all‐cause mortality in patients who underwent ICD...

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Main Authors: Ömer Sen, Samet Yilmaz, Fatih Sen, Kevser G. Balcı, Mehmet K. Akboga, Cagrı Yayla, Özcan Özeke
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Annals of Noninvasive Electrocardiology
Online Access:https://doi.org/10.1111/anec.12383
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author Ömer Sen
Samet Yilmaz
Fatih Sen
Kevser G. Balcı
Mehmet K. Akboga
Cagrı Yayla
Özcan Özeke
author_facet Ömer Sen
Samet Yilmaz
Fatih Sen
Kevser G. Balcı
Mehmet K. Akboga
Cagrı Yayla
Özcan Özeke
author_sort Ömer Sen
collection DOAJ
description Background T‐wave peak to T‐wave end interval (Tp‐e) correlates with dispersion of ventricular repolarization. The purpose of this study was to assess the ability of Tp‐e to predict appropriate implantable cardioverter defibrillator (ICD) shocks and all‐cause mortality in patients who underwent ICD implantation for primary prophylaxis. Methods Two hundred twenty‐eight patients with left ventricular ejection fraction ≤35% and an ICD implanted were followed‐up prospectively. Patients divided into two subgroups according to presence of appropriate ICD shocks (Group 1: 112 patients with ICD shocks, Group 2: 116 patients without shocks). End points were appropriate ICD therapy due to ventricular tachycardia (VT)/ventricular fibrillation (VF), death, and a combined end point of VT/VF or death. Results During a mean follow‐up of 22.3 ± 7.7 months, appropriate ICD shocks were observed in 112 of 228 patients (49.1%). The mean duration of the Tp‐e Group 1 was significantly longer than Group 2 (115.3 ± 22.2 vs 104.7 ± 20.2 ms, P < 0.001). Ischemic etiology and Tp‐e duration were found to be independent predictors of ICD therapy. When the patients were divided into two groups based on Tp‐e interval, there was no significant difference regarding the mortality between groups (21.2% vs 21.8%, P: 0.186). However, appropriate ICD shocks due to VT/VF (37.5% vs 58.8%, P < 0.001) and combined end point (39.4% vs 64.5%, P: 0.002) were significantly higher in patients with longer Tp‐e group. Conclusions Tp‐e interval independently predicts appropriate ICD shocks in patients with systolic dysfunction and ICDs implanted for primary prevention.
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spelling doaj.art-e86de0880d904fd9a66da3cbde7d45da2024-01-30T08:36:50ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2024-01-01291n/an/a10.1111/anec.12383Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary ProphylaxisÖmer Sen0Samet Yilmaz1Fatih Sen2Kevser G. Balcı3Mehmet K. Akboga4Cagrı Yayla5Özcan Özeke6Cardiology Clinic Adana Numune Training and Research Hospital Adana TurkeyCardiovascular Department Yozgat State Hospital Yozgatand TurkeyCardiology Clinic Turkey Yuksek Ihtisas Training and Research Hospital Ankara TurkeyCardiology Clinic Turkey Yuksek Ihtisas Training and Research Hospital Ankara TurkeyCardiology Clinic Turkey Yuksek Ihtisas Training and Research Hospital Ankara TurkeyCardiology Clinic Turkey Yuksek Ihtisas Training and Research Hospital Ankara TurkeyCardiology Clinic Turkey Yuksek Ihtisas Training and Research Hospital Ankara TurkeyBackground T‐wave peak to T‐wave end interval (Tp‐e) correlates with dispersion of ventricular repolarization. The purpose of this study was to assess the ability of Tp‐e to predict appropriate implantable cardioverter defibrillator (ICD) shocks and all‐cause mortality in patients who underwent ICD implantation for primary prophylaxis. Methods Two hundred twenty‐eight patients with left ventricular ejection fraction ≤35% and an ICD implanted were followed‐up prospectively. Patients divided into two subgroups according to presence of appropriate ICD shocks (Group 1: 112 patients with ICD shocks, Group 2: 116 patients without shocks). End points were appropriate ICD therapy due to ventricular tachycardia (VT)/ventricular fibrillation (VF), death, and a combined end point of VT/VF or death. Results During a mean follow‐up of 22.3 ± 7.7 months, appropriate ICD shocks were observed in 112 of 228 patients (49.1%). The mean duration of the Tp‐e Group 1 was significantly longer than Group 2 (115.3 ± 22.2 vs 104.7 ± 20.2 ms, P < 0.001). Ischemic etiology and Tp‐e duration were found to be independent predictors of ICD therapy. When the patients were divided into two groups based on Tp‐e interval, there was no significant difference regarding the mortality between groups (21.2% vs 21.8%, P: 0.186). However, appropriate ICD shocks due to VT/VF (37.5% vs 58.8%, P < 0.001) and combined end point (39.4% vs 64.5%, P: 0.002) were significantly higher in patients with longer Tp‐e group. Conclusions Tp‐e interval independently predicts appropriate ICD shocks in patients with systolic dysfunction and ICDs implanted for primary prevention.https://doi.org/10.1111/anec.12383
spellingShingle Ömer Sen
Samet Yilmaz
Fatih Sen
Kevser G. Balcı
Mehmet K. Akboga
Cagrı Yayla
Özcan Özeke
Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
Annals of Noninvasive Electrocardiology
title Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
title_full Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
title_fullStr Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
title_full_unstemmed Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
title_short Retracted: T‐peak to T‐end Interval Predicts Appropriate Shocks in Patients with Heart Failure Undergoing Implantable Cardioverter Defibrillator Implantation for Primary Prophylaxis
title_sort retracted t peak to t end interval predicts appropriate shocks in patients with heart failure undergoing implantable cardioverter defibrillator implantation for primary prophylaxis
url https://doi.org/10.1111/anec.12383
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