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

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

Makale detayları

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

Yazarlar:

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

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 6, pp.689-693

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001307930

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 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-eQT ratio, and Tp-eQTc 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 mmsec, and Tp-e interval, QT interval and the parameters obtained by their ratio to each other tp-eQT, Tp-eQTc were compared between the groups. Patients were shared according to trauma severity and parameters were compared. Results: TpeQT ratio in trauma patients was found to be statistically significantly higher than the control group 0.230.03 vs. 0.190.03, p0.001. In addition, the TpeQTc ratio in trauma patients was found to be statistically significantly higher than the control group 0.210.02 vs. 0.170.02, p0.001. 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-eQT and Tp-eQTc. Conclusıon: Based on the results of our study, we verified that the Tp-e interval in the ECG, Tp-eQT ratio, and Tp-eQTc 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.

 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-eQT ratio, and Tp-eQTc 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 mmsec, and Tp-e interval, QT interval and the parameters obtained by their ratio to each other tp-eQT, Tp-eQTc were compared between the groups. Patients were shared according to trauma severity and parameters were compared. Results: TpeQT ratio in trauma patients was found to be statistically significantly higher than the control group 0.230.03 vs. 0.190.03, p0.001. In addition, the TpeQTc ratio in trauma patients was found to be statistically significantly higher than the control group 0.210.02 vs. 0.170.02, p0.001. 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-eQT and Tp-eQTc. Conclusıon: Based on the results of our study, we verified that the Tp-e interval in the ECG, Tp-eQT ratio, and Tp-eQTc 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.

 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-eQT ratio, and Tp-eQTc 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 mmsec, and Tp-e interval, QT interval and the parameters obtained by their ratio to each other tp-eQT, Tp-eQTc were compared between the groups. Patients were shared according to trauma severity and parameters were compared. Results: TpeQT ratio in trauma patients was found to be statistically significantly higher than the control group 0.230.03 vs. 0.190.03, p0.001. In addition, the TpeQTc ratio in trauma patients was found to be statistically significantly higher than the control group 0.210.02 vs. 0.170.02, p0.001. 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-eQT and Tp-eQTc. Conclusıon: Based on the results of our study, we verified that the Tp-e interval in the ECG, Tp-eQT ratio, and Tp-eQTc 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.

 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-eQT oranı ve Tp-eQTc 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 mmsn hızda 12 derivasyonlu EKG kaydı alınmış olup Tp-e interval, QT aralığı ve bunların birbirine oranlanmasından elde edilen tp-eQT, Tp-eQTc parametreler gruplar arasında karşılaştırıldı. Hastalar travma şiddetine göre gruplandırılıp parametreler karşılaştırılmıştır. Bulgular: Travma hastalarındaki TpeQT oranı kontrol grubuna göre anlamlı yüksek saptanmıştır 0,230.03 vs. 0.190.03, p0.001. Ayrıca Travma hastalarındaki TpeQTc oranı kontrol grubuna göre anlamlı yüksek saptanmıştır 0.210.02 vs. 0.170.02, p0.001. Ayrıca travma şiddetine etki eden faktörlerin analizi yapıldığında yaş,cinsiyet, BMI, QT interval, Tp-eQT ve Tp-eQTc açısından anlamlı farklılık saptanmadı. Sonuç: Çalışmamızdaki sonuçlara dayanarak acil servise künt toraks travması ile başvuran hastalarda EKGde Tp-e aralığı, Tp-eQT oranı ve Tp-eQTc oranının oluşabilecek aritminin bir göstergesi olabileceğini ve bunun travma şiddeti ile ilişkisiz olduğunu saptadık.

Makale detayları

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

Yazarlar:

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

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 6, pp.689-693

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001307930

pISSN:

2602-3741

Tp-e interval

Tp-e/QT ratio

Tp-e/QTc ratio

chest traumaTp-e aralığı

Tp-e/QT oranı

Tp-e/QTc oranı

göğüs travması

Sayı

Makale detayları

Yazarlar: Günay Yıldız | Cihan Bedel | Fatih Selvi | Ökkeş Zortuk | Mustafa Korkut | Görkem Kuş | Muharrem Özkaya

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Genel Tıp Dergisi Vol.33 Issue 6, pp.689-693

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001307930

pISSN: 2602-3741

Sayı

Yazarlar:

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

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 6, pp.689-693

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001307930

pISSN:

2602-3741