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56920

Evaluation of QT Dispersion and Tp-e interval in Children with Hypothyroidism

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Last updated: 03 Jan 2025

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Abstract

Background: Several studies in adults, showed increased dispersion of QT and corrected QT (QTc), peak-to-end interval of the T wave (Tp-e), Tp-e/QT ratio and Tp-e/QTc ratio in hypothyroidism. However, there were few studies in children with hypothyroidism. Objective: This study aimed to evaluate the relationship between hypothyroidism in children and increased QTd, QTc, Tp-e, Tp-e/QT ratio and Tp-e/QTc ratio. zPatients and methods: In this study we compared 50 hypothyroid children with 30 healthy children in respect of serum thyroid stimulating hormone (TSH), serum level of free triiodothyronine (fT3) and level of free thyroxine (fT4). Hypothyroidism diagnosed with TSH above the laboratory accepted upper limit and normal or decreased fT4 values. The patient and control group data were compared by calculating the QT interval, corrected QT(QTc), QT dispersion (QTd), QTc dispersion (QTcd), Tp-e, Tp-e/QT ratio and Tp-e/QTc ratio on 12-lead surface electrocardiogram (ECG). Results: In the hypothyroid group, the mean age was 10.36 ± 4.18 years old (ranged from 1-17 years). Regarding the control group, the mean age was 9.09 ± 4.58 years old (ranged from 1-17 years). The QT max, QTc max, QTd, QTcd, Tp-e, Tp-e/QT and Tp-e/QTc values were determined to be significantly higher in hypothyroid children than the control children (p=0.03, p=0.026, p< 0.001, p=0.004, p=0.003, p=0.034 and p=0.027 respectively). QT max, QTc max, QTd and QTcd in the hypothyroid group were 330 ± 38 ms, 406 ± 26 ms, 37 ± 17 ms and 39 ± 17 ms respectively. While in the control group, they were 315 ± 23 ms, 393 ± 26 ms, 18± 13 and 27 ± 16 respectively. Conclusion: It could be concluded that there was a significant increase in QTd, QTcd, Tp-e, Tp-e/QT ratio and Tp-e/QTc ratio values in children with hypothyroidism similar to that seen in adults. The use of 12- lead ECG for the measurements of QTd, QTcd and Tp-e can be considered necessary for the monitoring of children with hypothyroidism and in the evaluation of the risk of cardiovascular disease.

DOI

10.21608/ejhm.2019.56920

Keywords

hypothyroidism, QT dispersion, thyroid stimulating hormone, children

Authors

First Name

Mohamed Hesham Hassan

Last Name

Ezzat

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Affiliation

Department of Cardiology, Faculty of Medicine. Al-Azhar University

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First Name

Mohamed Samy

Last Name

Abdel-Samae

MiddleName

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Affiliation

Department of Cardiology, Faculty of Medicine. Al-Azhar University

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Orcid

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First Name

Mohamed Basiony

Last Name

Taha

MiddleName

-

Affiliation

Department of Cardiology, Matrouh Specialized Cardiothoracic and Interventional Catheterization Center, Egypt

Email

dr.mohamedbasiony@gmail.com

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Volume

77

Article Issue

4

Related Issue

8489

Issue Date

2019-10-01

Receive Date

2019-11-04

Publish Date

2019-10-01

Page Start

5,367

Page End

5,372

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_56920.html

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https://ejhm.journals.ekb.eg/service?article_code=56920

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of QT Dispersion and Tp-e interval in Children with Hypothyroidism

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Article

Created At

22 Jan 2023