Theint Yin Thu, Khin Ei Ei, Thein Ohnmar Myint, Sein Mya Thanda
Department of Physiology, University of Medicine 2, Yangon, Republic of the Union of Myanmar.
J ASEAN Fed Endocr Soc. 2020;35(2):190-195. doi: 10.15605/jafes.035.02.09. Epub 2020 Jul 6.
This study determined the relationship between plasma adiponectin level and corrected QT interval (QTc) in smokers and non-smokers.
This cross-sectional analytical study was undertaken in 30 smokers and 30 non-smokers. Plasma adiponectin level was determined by enzyme-linked immunosorbent assay (ELISA). The QT interval was measured by routine 12-lead ECG with Lead II rhythm and QTc was calculated.
Mean plasma adiponectin level was significantly lower in smokers (27.89±15 μg/ml) than that of non-smokers (52.13±21.57pg/ml) (<0.001). Mean QTc interval was significantly longer in smokers than that of non-smokers (415.37±29.9 versus 395.63±26.13 ms, <0.01). Higher risk of low adiponectin level (odds ratio [OR],8.1; 95% confidence interval [CI],1.61-40.77) and QTc interval prolongation (OR,6; 95%CI,1.17-30.73) were observed in smokers. There was weak significant negative correlation between plasma adiponectin level and QTc interval in the study population (n=60, r=-0.407, =0.001). Moreover, low plasma adiponectin level was significantly associated with prolonged QTc interval in the study population (n=60, Fisher's exact <0.05). Risk of QTc interval prolongation was 4.3 times higher in subjects with low plasma adiponectin level (OR,4.27; 95% CI,1.05-17.46).
Smokers have greater risk for low plasma adiponectin level and prolonged QTc interval. There is a relationship between plasma adiponectin level and QTc interval.
本研究确定吸烟者和非吸烟者血浆脂联素水平与校正QT间期(QTc)之间的关系。
本横断面分析研究纳入了30名吸烟者和30名非吸烟者。采用酶联免疫吸附测定(ELISA)法测定血浆脂联素水平。通过常规12导联心电图以II导联心律测量QT间期并计算QTc。
吸烟者的平均血浆脂联素水平(27.89±15μg/ml)显著低于非吸烟者(52.13±21.57pg/ml)(<0.001)。吸烟者的平均QTc间期显著长于非吸烟者(415.37±29.9对395.63±26.13毫秒,<0.01)。在吸烟者中观察到低血浆脂联素水平(比值比[OR],8.1;95%置信区间[CI],1.61 - 40.77)和QTc间期延长(OR,6;95%CI,1.17 - 30.73)的风险更高。在研究人群(n = 60,r = -0.407,P = 0.001)中,血浆脂联素水平与QTc间期之间存在弱显著负相关。此外,在研究人群(n = 60,Fisher确切概率法<0.05)中,低血浆脂联素水平与QTc间期延长显著相关。血浆脂联素水平低的受试者QTc间期延长的风险高4.3倍(OR,4.27;95%CI,1.05 - 17.46)。
吸烟者血浆脂联素水平低和QTc间期延长的风险更高。血浆脂联素水平与QTc间期之间存在关联。