Kim H S, Kim J T, Kim C S, Kim S D, Kim K, Yum M K
Department of Anesthesiology, Seoul National University, College of Medicine, 103 Daehakro Jongnogu, Seoul, Korea.
Anaesthesia. 2009 Jan;64(1):3-8. doi: 10.1111/j.1365-2044.2008.05678.x.
Sevoflurane prolongs the QT interval (QTI). Patients with congenital sensorineural hearing loss (SNHL) often have a prolonged QTI. This study was to investigate the effects of sevoflurane on the QTI in SNHL and control children. Thirty patients with SNHL and 30 controls were studied. The corrected QT interval (QTc), interval from peak to end of T wave (Tp-e) and QT variability index (QTVI) were analysed. QTc and Tp-e were estimated by the average QTc and Tp-e measured beat-by-beat for 15 min. Heart rate power spectral analysis was performed. In both groups, QTc and QTVI increased during anaesthesia, but Tp-e did not change. There were no differences in QTc, QTVI, Tp-e, low- and high-frequency power between the two groups. In both groups, sevoflurane lengthened the QTc and QTVI intervals but not Tp-e.
七氟醚可延长QT间期(QTI)。先天性感音神经性听力损失(SNHL)患者的QTI常常延长。本研究旨在调查七氟醚对SNHL患儿和对照儿童QTI的影响。研究了30例SNHL患儿和30例对照儿童。分析了校正QT间期(QTc)、T波峰至末间期(Tp-e)和QT变异性指数(QTVI)。QTc和Tp-e通过逐搏测量15分钟的平均QTc和Tp-e来估计。进行了心率功率谱分析。两组在麻醉期间QTc和QTVI均增加,但Tp-e未改变。两组之间的QTc、QTVI、Tp-e、低频和高频功率无差异。两组中,七氟醚均延长了QTc和QTVI间期,但未延长Tp-e。