Künt göğüs travmalı hastalarda Tp-e aralığı, Tp-e/QT oranı ve Tp-e/QTc oranının Klinik Önemi

Year 2023, Volume: 33 Issue: 6, 689 - 693, 31.12.2023

Günay Yıldız , Cihan Bedel , Fatih Selvi , Ökkeş Zortuk , Mustafa Korkut , Görkem Kuş , Muharrem Özkaya

https://doi.org/10.54005/geneltip.1262217

Abstract

Amaç: Künt göğüs travması sonrası birçok komplikasyon gelişebilir. Künt göğüs travmasından sonra potansiyel ölümcül olabilcek aritmi gelişebileceği gösterilmiştir. Biz bu çalışmada künt göğüs travmalı hastalarda kardiyak aritmi riskini Tp-e aralığı, tp-e/QT oranı ve Tp-e/QTc oranını kullanarak potansiyel kardiyak aritmi belirteci olarak kullanılabilirliğini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmamız tek merkezli prospektif olgu-kontrol şeklinde 15.01.2022 -15.06.2022 tarihleri arasında acil servise künt göğüs travması ile başvuran tüm hastalar hastalardan oluşmaktadır. Tüm katılımcılardan kâğıt hızı 50 mm/sn hızda 12 derivasyonlu EKG kaydı alınmış olup Tp-e interval, QT aralığı ve bunların birbirine oranlanmasından elde edilen (tp-e/QT, Tp-e/QTc) parametreler gruplar arasında karşılaştırıldı. Hastalar travma şiddetine göre gruplandırılıp parametreler karşılaştırılmıştır.
Bulgular: Travma hastalarındaki Tpe/QT oranı kontrol grubuna göre anlamlı yüksek saptanmıştır (0,23±0.03 vs. 0.19±0.03, p<0.001). Ayrıca Travma hastalarındaki Tpe/QTc oranı kontrol grubuna göre anlamlı yüksek saptanmıştır (0.21±0.02 vs. 0.17±0.02, p<0.001). Ayrıca travma şiddetine etki eden faktörlerin analizi yapıldığında yaş,cinsiyet, BMI, QT interval, Tp-e/QT ve Tp-e/QTc açısından anlamlı farklılık saptanmadı.
Sonuç: Çalışmamızdaki sonuçlara dayanarak acil servise künt toraks travması ile başvuran hastalarda EKG'de Tp-e aralığı, Tp-e/QT oranı ve Tp-e/QTc oranının oluşabilecek aritminin bir göstergesi olabileceğini ve bunun travma şiddeti ile ilişkisiz olduğunu saptadık.

Keywords

Tp-e aralığı, Tp-e/QT oranı, Tp-e/QTc oranı, göğüs travması

Clinical Importance of Tp-e Interval, Tp-e/QT Ratio and Tp-e/QTc Ratio in Blunt Trauma Patients

Abstract

Objective: Diffirents complications can develop after blunt chest trauma. It has been shown that potentially dectructive arrhythmias may develop after blunt chest trauma. In this study, our main objective is to evaluate the risk of cardiac arrhythmia in patients with blunt chest trauma, using the Tp-e interval, tp-e/QT ratio, and Tp-e/QTc ratio as a potential marker of cardiac arrhythmia.
Materials and Methods: Our study consists of all patients who applied to the emergency department with blunt chest trauma between 15.01.2022 and 15.06.2022 in the form of a single-center, prospective case-control. 12-lead ECG documented on were taken from all participants at a paper speed of 50 mm/sec, and Tp-e interval, QT interval and the parameters obtained by their ratio to each other (tp-e/QT, Tp-e/QTc) were compared between the groups. Patients were shared according to trauma severity and parameters were compared.
Results: Tpe/QT ratio in trauma patients was found to be statistically significantly higher than the control group (0.23±0.03 vs. 0.19±0.03, p<0.001). In addition, the Tpe/QTc ratio in trauma patients was found to be statistically significantly higher than the control group (0.21±0.02 vs. 0.17±0.02, p<0.001). In addition, when the analysis of age, gender and BMI, which are the factors affecting trauma severity, was performed, no significant difference was found in terms of QT interval, Tp-e/QT and Tp-e/QTc.
Conclusıon: Based on the results of our study, we verified that the Tp-e interval in the ECG, Tp-e/QT ratio, and Tp-e/QTc ratio might indicate possible arrhythmia in patients who presented to the emergency department with blunt thoracic trauma, and this was unrelated to the severity of the trauma.

Keywords

Tp-e interval, Tp-e/QT ratio, Tp-e/QTc ratio, chest trauma

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