The Heller Institute of Medical Research, and Department of Medicine F, Sheba Medical Center, Tel Hashomer Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Rheumatol Int. 2012 Jul;32(7):1945-8. doi: 10.1007/s00296-011-1896-9. Epub 2011 Apr 2.
Cardiac amyloid deposition in FMF may cause increased QT dispersion (QTd), a marker for cardiac arrhythmias. The aim of this study was to further evaluate repolarization dispersion in familial Mediterranean fever (FMF) with amyloidosis. Findings on 12-lead electrocardiography were compared between 18 patients with FMF-amyloidosis and 18 age- and sex-matched control subjects. Repolarization and dispersion parameters were computed with designated computer software, and results of the 5 beats were subsequently averaged. There were no statistically significant differences between the groups as to average corrected QT interval length, average QTd interval, average QT corrected dispersion, or QT dispersion ratio. JT dispersion and JT corrected dispersion were also similar in both groups. In conclusion, patients with FMF-amyloidosis seem to have QT and JT dispersion parameters similar to those of healthy subjects. Future research and longer follow-ups should be conducted in order to evaluate the prognostic importance of repolarization dispersion parameters in amyloidosis of FMF.
心脏淀粉样沉积在 FMF 中可能导致 QT 离散度(QTd)增加,这是心律失常的一个标志物。本研究的目的是进一步评估伴有淀粉样变性的家族性地中海热(FMF)中的复极离散。比较了 18 例 FMF-淀粉样变性患者和 18 例年龄和性别匹配的对照组患者的 12 导联心电图结果。使用指定的计算机软件计算复极和离散参数,随后对 5 个心动周期的结果进行平均。两组间平均校正 QT 间期长度、平均 QTd 间期、平均 QT 校正离散度或 QT 离散度比无统计学差异。两组 JT 离散度和 JT 校正离散度也相似。总之,FMF-淀粉样变性患者的 QT 和 JT 离散度参数似乎与健康受试者相似。未来应进行进一步的研究和更长时间的随访,以评估复极离散参数在 FMF 淀粉样变性中的预后意义。