Document Detail


The correlation among QTc interval, hyperglycaemia and the impaired autonomic activity.
MedLine Citation:
PMID:  19963442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The QT interval reflects the duration of the intracellular action potential. Little is known on the interval QT duration in non diabetic insulin-resistant subjects. OBJECTIVE: The aims of the current study were to evaluate the QTc interval in three groups of non diabetic insulin-resistant subjects and the possible correlation between QTc and the autonomic nervous system's activity. DESIGN: 90 subjects were divided in subjects with impaired fasting glycaemia (IFG) and, by the results of OGTT, according to the criteria of ADA, in subjects with normal glucose regulation (NGR) and impaired glucose tolerance (IGT). Insulin resistance was evaluated by the homeostasis model assessment-index (HOMA-I). Heart rate variability and Qtc were calculated. RESULTS: QTc interval is correlated with SDNN, LF n.u. and LF/HF. CONCLUSION: We have observed that the QTc interval is prolonged in insulin-resistant subjects with associated impaired glucose metabolism, while no difference was reported between insulin-resistant and non insulin-resistant subjects with normal glucose regulation. We hypothesize that hyperglycaemia could play a major role than hyperinsulinemia on the QTc prolongation.
Authors:
Alessandra Fiorentini; Antonio Perciaccante; Rosita Valente; Alberto Paris; Pietro Serra; Luigi Tubani
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2009-12-05
Journal Detail:
Title:  Autonomic neuroscience : basic & clinical     Volume:  154     ISSN:  1872-7484     ISO Abbreviation:  Auton Neurosci     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-24     Completed Date:  2010-06-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909359     Medline TA:  Auton Neurosci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  94-8     Citation Subset:  IM    
Copyright Information:
2009 Elsevier B.V. All rights reserved.
Affiliation:
UO Geriatria, Hospital of Montefiascone POC, Viterbo, Italy. fiorentini-a@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Autonomic Nervous System Diseases / complications*
Blood Glucose / physiology
Blood Pressure / physiology
Electrocardiography
Female
Functional Laterality
Glucose Tolerance Test / methods
Heart Rate / physiology*
Humans
Hyperglycemia / complications*
Insulin Resistance / physiology
Long QT Syndrome / etiology*
Male
Middle Aged
Retrospective Studies
Statistics as Topic*
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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