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Q-T
INTERVAL IS PROLONGED IN CHRONIC LIVER DISEASE RELATED TO
STAGE OF CIRRHOSIS BUT INDEPENDENT OF ITS ETIOLOGY Q-T INTERVAL
IS PROLONGED IN CHRONIC LIVER DISEASE RELATED TO STAGE OF
CIRRHOSIS BUT INDEPENDENT OF ITS ETIOLOGY
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N. Lačević, I. Bratović, Z. Vukobrat-Bijedić and R. Mesihović
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| Clinic
for Gastroenterohepatology, Clinical Center of Sarajevo University,
Bosnia and Herzegovina |
Background:
Patients with prolonged QT interval are with higher risk for serious
rhythm disturbances and sudden death. Several studies imply prolongation
of QT interval on electrocardiograph examination with liver cirrhosis
as an underlying condition. Aim: To estimate prevalence of prolonged
Q-T interval among patients with liver cirrhosis, treated on Clinic
for Gastroenterohepatology, and relations for stage of diseases
and lasting of Q-T interval. Patients and methods: 60 patients
with liver cirrhosis of different etiology (20 patients with B,
20 patients with C and 20 patients with alcoholic or other etiology)
but without apparent heart disease were included in study. Control
group was 60 patients with proven chronic hepatitis of minimal
activity. Relations were established between Q-T prolongation
and etiology, severity of disease and patients mortality. Routine
liver tests were followed, Child score, values of electrolytes
in sera and creatinin. Other possible causes of Q-T prolongation
were excluded. Results: Q-T interval was significantly longer
in patients with liver cirrhosis compared to control group (P
< 0.001) in 32 patients (53.5%) and 7 patients from control group
(4.2%; difference is significant, P < 0.001). Etiology of liver
cirrhosis did not influence on duration of Q-T. There is positive
and significant correlation of Q-T with Child score (P < 0.001),
routine liver tests (prothrombic time, albumin level in sera,
bilirubin values). Only Child score was independent factor with
Q-T duration. In follow up (average 24 months), patients with
prolonged Q-T had significantly lower surviving compared to patients
with normal Q-T. Conclusion: Q-T interval was frequently prolonged
in liver cirrhosis, regardless to etiology of disease. Interval
Q-T was prolonged more in advanced stages of liver cirrhosis and
it was probably bed prognostic sign. Among other, still poor defined
factors in worsening of liver disease, sympathoadrenergic hyperactivity
could play some pathogenical role.
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