Prolonged QT Interval in Alcoholic Autonomic Nervous Dysfunction

Akira Yokoyama, Hiromasa Ishii, Toshikazu Takagi, Shingo Hori, Sachio Matsushita, Shohei Onishi, Fuminori Katsukawa, Izumi Takei, Shinzo Kato, Katsuya Maruyama, Masaharu Tsuchiya

研究成果: Article査読

28 被引用数 (Scopus)

抄録

QT prolongation on electrocardiography is related to sudden cardiac death and is frequently found in alcoholics. We studied QT prolongation in relation to the function of cardiac autonomic nerves assessed by the coefficient of variation of the R‐R interval (CVRR) in three age‐matched groups of men: 32 alcoholics with autonomic nervous dysfunction (AN), 32 alcoholics without AN, and 32 healthy controls. The QTc, interval and CVRR were measured at rest on the 30th day of abstinence, when electrolyte imbalance had disappeared. Subjects with arrhythmia, conduction abnormality, cardio‐megaly, ischemic heart disease or diabetes mellitus were excluded. A CVRR of less than 80% of standard predicted value was judged to represent AN. In alcoholics, QTc, correlated negatively with the ratio of CV, to its standard value (r = ‐0.49, p < 0.0001). The incidence of QTc, prolongation was higher in alcoholics with AN (46.9%) than in alcoholics without AN (21.9%, p < 0.05). QTc prolongation was not observed in healthy controls. The QTc interval was significantly (p < 0.01) longer in alcoholics with AN (444 ± 20 msec) than in alcoholics without AN (426 ± 17) and in healthy controls (398 ± 18). These results suggest that alcoholism causes dysfunction of the autonomic nerves as well as worsening QT prolongation, and this may predispose such patients to sudden cardiac death.

本文言語English
ページ(範囲)1090-1092
ページ数3
ジャーナルAlcoholism: Clinical and Experimental Research
16
6
DOI
出版ステータスPublished - 1992 12

ASJC Scopus subject areas

  • 医学(その他)
  • 毒物学
  • 精神医学および精神衛生

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