Department of Psychiatry, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Psychiatry Clin Pract. 2013 Aug;17(3):227-31. doi: 10.3109/13651501.2012.667112. Epub 2013 Apr 5.
In a case series we examined the prevalence and incidence of QT changes during a 1-week interval in hospitalized patients in a general psychiatry ward during a 6-month period.
This cross-sectional study was done on electrocardiographic QT interval of patients admitted to the Psychiatric Department of Taleghani Hospital during a 6-month period excluding subjects with underlying cause of QT prolongation.
Admission and follow-up electrocardiograms of 27 men and 47 women were studied, there was significant QT prolongation during hospitalization (P value 0.001) in approximately 30% of subjects, irrespective of type of administered medication.
Pro-arrhythmic changes as reflected in QTc prolongation and QTc dispersion in electrocardiograms are common in patients admitted in psychiatric wards irrespective of type of therapy and should be screened and followed by serial electrocardiograms to minimize untoward cardiac outcomes.
在一项病例系列研究中，我们在 6 个月期间内，检查了普通精神科病房住院患者在 1 周时间内 QT 变化的发生率和患病率。
这项横断面研究对 Taleghani 医院精神科在 6 个月期间内住院的患者的心电图 QT 间期进行了研究，排除了 QT 延长的潜在原因的患者。
研究了 27 名男性和 47 名女性的入院和随访心电图，约 30%的患者在住院期间出现 QT 延长（P 值 0.001），无论给予何种药物治疗。
心电图反映的致心律失常变化，如 QTc 延长和 QTc 离散度，在精神病病房住院的患者中很常见，无论治疗类型如何，都应进行筛查和连续心电图随访，以最小化不良心脏结局。
