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偏頭痛發(fā)作期間心室復(fù)極參數(shù)的評估

2021.07.21

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Evaluation of ventricular repolarization parameters during migraine attacks

背景與目的

偏頭痛是一種慢性神經(jīng)血管疾病，其特征是間歇性嚴(yán)重頭痛發(fā)作。偏頭痛患者在無偏頭痛發(fā)作期間，發(fā)現(xiàn)其自主神經(jīng)系統(tǒng)（交感神經(jīng)和副交感神經(jīng)系統(tǒng)）異常。在這些患者中，偏頭痛發(fā)作期間心臟和冠狀動脈的自主神經(jīng)受干擾可能導(dǎo)致心電圖改變。T波峰-末間期（Tp-e間期）和Tp-e / QT比是相對較新的室性心律失常和復(fù)極異質(zhì)性標(biāo)志。在本觀察性研究中，我們通過監(jiān)測12導(dǎo)聯(lián)心電圖（ECG）來研究偏頭痛發(fā)作和無發(fā)作期心室復(fù)極的變化。

方法

本研究共納入63例偏頭痛患者（54名[86％]女性；平均年齡 33.3±9.9歲）。通過進(jìn)行12導(dǎo)聯(lián)心電圖測量偏頭痛發(fā)作和無發(fā)作期患者的QT和校正QT（QTc）間期、Tp-e間期以及Tp-e / QT比值。

結(jié) 果

偏頭痛發(fā)作期的QT和QTc間期、Tp-e間期和Tp-e / QT比值均高于無發(fā)作期（所有P值均小于0.001）。

結(jié) 論

這些結(jié)果表明，與無發(fā)作期相比，偏頭痛發(fā)作時心室復(fù)極參數(shù)增大，這可能是由于自主神經(jīng)系統(tǒng)失調(diào)所致。

原始文獻(xiàn)來源及摘要

?ztürk M, Turan OE, Karaman K, et al. Evaluation of ventricular repolarization parameters during migraine attacks.[J].J Electrocardiol,2019,53:66-70.

AIMS: Migraine is a chronic neurovascular disorder characterized by intermittent episodes of severe headache. Abnormalities in the autonomic nervous system (sympathetic and parasympathetic nervous systems) have been detected during migraine-free periods in patients with migraine. In these patients, disrupted autonomic innervations of the heart and coronary arteries may lead to electrocardiographic changes during a migraine attack. T-wave peak-to-end interval (Tp-e interval) and Tp-e/QT ratio are relatively new markers of ventricular arrhythmogenesis and repolarization heterogeneity. In the present observational study, we investigated the changes in ventricular repolarization during migraine attacks and attack-free periods by performing 12lead electrocardiography (ECG).

METHODS: This study included 63 patients (54 [86%] women; mean age: 33.3?±?9.9?years) with migraine. The QT and corrected QT (QTc) intervals, Tp-e interval, and Tp-e/QT ratio of the patients during migraine attacks and attack-free periods were measured by performing 12lead ECG.

RESULTS: The QT and QTc intervals, Tp-e interval, and Tp-e/QT ratio were higher during migraine attacks than during attack-free periods (P?<?0.001 for all).

CONCLUSION: These results indicate that migraine attacks are associated with an increase in ventricular repolarization parameters compared with attack-free periods possibly because of the dysregulation of the autonomic nervous system.

罌粟花

麻醉學(xué)文獻(xiàn)進(jìn)展分享

貴州醫(yī)科大學(xué)高鴻教授課題組

翻譯：李華宇編輯：馮玉蓉審校：曹瑩

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METHODS: This study included 63 patients (54 [86%] women; mean age: 33.3?±?9.9?years) with migraine. The QT and corrected QT (QTc) intervals, Tp-e interval, and Tp-e/QT ratio of the patients during migraine attacks and attack-free periods were measured by performing 12lead ECG.

RESULTS: The QT and QTc intervals, Tp-e interval, and Tp-e/QT ratio were higher during migraine attacks than during attack-free periods (P?<?0.001 for all).

CONCLUSION: These results indicate that migraine attacks are associated with an increase in ventricular repolarization parameters compared with attack-free periods possibly because of the dysregulation of the autonomic nervous system.