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290607

Correlation of QT Interval in Stress Hyperglycemia among Patients at Intensive Care Unit

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Last updated: 03 Jan 2025

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Abstract

Background: In the intensive care unit (ICU), stress hyperglycemia is a relatively prevalent occurrence. It has a number of underlying reasons, including neuroendocrine and inflammatory abnormalities in critically sick patients, which promote insulin resistance and excessive hepatic glucose production. Objective: The aim of the present study was to detect the relation between corrected QT interval (QTc) and non-diabetic stress hyperglycemia in critically ill patients. Patients and methods: This cohort study included non-diabetic stress hyperglycemia that was conducted at ICU, Internal Medicine Department, Zagazig University Hospitals. These patients with stress hyperglycemia were further subdivided into two groups according to QT maxc Interval prolongation. Results: There was statistically non-significant relation between gender of patients and either QT prolongation (65.3% versus 64.6% in males and females respectively), QTII, QT max or QT maxc. There was statistically significant relation between QT prolongation and QT maxc (significantly higher in those with prolonged QT), QT max (significantly higher in those with prolonged QT). There was statistically non-significant relation between QT prolongation and QTII interval. There is statistically non-significant relation between QT prolongation and either LVEDD, LVESD, EF, DMR or EPSS Conclusion: Prolongation of QT maxc interval is frequent in critically ill patients during stress hyperglycemia. There was statistically significant relation between QT prolongation and APACHEII (significantly higher in prolonged QT interval).  

DOI

10.21608/ejhm.2023.290607

Keywords

Stress Hyperglycemia, QT interval, ICU, hospital outcomes

Authors

First Name

Usama Ahmed

Last Name

Khalil

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First Name

Doaa Abdelwahab

Last Name

Abdallah

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Affiliation

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Email

doaa.abdelwahab@gmail.com

City

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Orcid

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First Name

Hala Gouda

Last Name

Abomandour

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Ghada M.

Last Name

Samir

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-03-14

Publish Date

2023-01-01

Page Start

3,138

Page End

3,142

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_290607.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=290607

Order

174

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Correlation of QT Interval in Stress Hyperglycemia among Patients at Intensive Care Unit

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Article

Created At

24 Dec 2024