The corrected Q-T interval in the elderly with urban hypothermia (CROSBI ID 88688)
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Duraković, Zijad ; Mišigoj-Duraković, Marjeta ; Čorović, Naima ; Čubrilo-Turek, Mirjana ; Turek, Stjepan
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The corrected Q-T interval in the elderly with urban hypothermia
During winter time in the period of 1993-1999, 18 elderly patients:11 female and 7 male aged 65-88 years, were treated because of hypothermia. Rectal temperatureon admission was 20-34.5oC. Ten patients suffered from moderate hypothermia(35-32oC), and 8 suffered from severe hypothermia(<32oC). Arterial hypotension was recorded in 7 and shock in 11 patients. In moderate hypothermia Osborn, s or Tomaszewski, s J wave was present in 7/10 and it only appeared in 3/10 patients ; in severe hypothermia ist was present in 6/8 and only appeared in 2/8 patients. The corrected QT interval in the group with hypothermia ranged 0.45o-0.688 s, in the control group 0.343-0.444 s. The X minimum(s) in the group with hypothermia was 0.508 +/- 0.079, in the control group it was 0.371 +/-0.139 s, and the difference was statistically significant(P<0.001). The X maximum in the group with hypothermia was 0.576 +/- 0.067 s, in the control group 0.390 +/- 0.019 s, and the difference was statistically significant. In both groups the most significant prolongation of the corrected QT interval in the majority of patients was found in anteroseptal leads. The dispersion of the corrected QT interval in the group with hypothermia was 89.19 */- 28.44 s, in the control group it was 32.06 +/- 8.94 s, and the difference was statistically significant (P<0.001).
ECG ; Q-T interval ; urban hypothermia ; elderly
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Javno zdravstvo i zdravstvena zaštita, Kineziologija, Kliničke medicinske znanosti