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Computers in Cardiology, 2005

DOI: 10.1109/cic.2005.1588152

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Effect of QT interval correction during autonomic blockade in combination with changes in posture

Proceedings article published in 2005 by M. Llamedo Soria, M. L. Soria, P. D. Arini, M. R. Risk, P. Laguna ORCID
This paper is available in a repository.
This paper is available in a repository.

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Abstract

The measurement of QT interval on ECG is a marker for malignant ventricular arrhythmias. When QT is measured, it must be corrected to become independent of heart rate (HR) and become a comparable measure of repolarization between different conditions. The objective of this work was to evaluate different types of QT interval correction (Bazzett, Individual and Hodges) for different QT/RR relations. This was accomplished with selective blockade of sympathetic and vagal autonomic systems by using combinations of postural changes and drugs. When comparing vagal condition (supine) versus sympathetic condition (standing atropine) a significant shortening of 43 ms (P<0.006) was observed. Whereas when comparing sympathetic (standing) versus vagal condition (supine propranolol) a significant lengthening of 23 ms (P<0.005) was observed. The Individual correction method achieved the best uncorrelation between QT and RR interval, making QT more independent of HR and ANS status