Influence of food intake on the QT and QT/RR relation

被引:6
作者
Sciot, Bram [1 ]
Vandenberk, Bert [1 ,2 ]
Huijghebaert, Suzy
Goovaerts, Griet [3 ,4 ]
Van Huffel, Sabine [3 ,4 ]
Ector, Joris [1 ,2 ]
Willems, Rik [1 ,2 ]
机构
[1] Univ Hosp Leuven, Dept Cardiol, Herestr 49, B-3000 Leuven, Belgium
[2] Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium
[3] Univ Leuven, Dept Elect Engn ESAT, STADIUS Ctr Dynam Syst Signal Proc & Data Analyt, Leuven, Belgium
[4] IMinds Med IT, Leuven, Belgium
基金
欧洲研究理事会;
关键词
QT interval; QT correction; Heart rate; Meal intake; Thorough QT studies; THOROUGH QT; HEART-RATE; CARDIAC REPOLARIZATION; INTERVAL PROLONGATION; CLINICAL-PHASE; MEAL INTAKE; ACTIVATION; INGESTION; RESPONSES; DESIGN;
D O I
10.1016/j.jelectrocard.2016.06.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: There are conflicting data on the influence of meal intake on the QT interval. Methods: Ten healthy subjects were studied before and after a standardized breakfast and lunch with a sequence of supine resting, standing and exercise. Data collection was performed using a 12-lead Holter with semi-automated analysis. QT correction was performed using Fridericia (QTcF) correction formula and a subject-specific method based on individual QT/RR-regression (QTcI). Results: Meal intake induced significant changes in HR (p < 0.001), but not in QTcF (p = 0.512) or QTcI (p = 0.739). Postural analysis showed only significant differences in supine position for HR (p = 0.010), not when standing or during exercise. Conclusion: Food intake induced an increase in heart rate limited to supine position. Using QTcF and QTcI no QTc changes were found. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:720 / 727
页数:8
相关论文
共 25 条
[1]   Ionic, molecular, and cellular bases of QT-interval prolongation and torsade de pointes [J].
Antzelevitch, Charles .
EUROPACE, 2007, 9 :4-15
[2]   Investigation of the effects of physiological and vasodilation-induced autonomic activation on the QTc Interval in healthy male subjects [J].
Berger, E ;
Patel, K ;
Anwar, S ;
Davies, W ;
Sheridan, DJ .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2005, 60 (01) :17-23
[3]   The effect of moxifloxacin on QTc and implications for the design of thorough QT studies [J].
Bloomfield, D. M. ;
Kost, J. T. ;
Ghosh, K. ;
Hreniuk, D. ;
Hickey, L. A. ;
Guitierrez, M. J. ;
Gottesdiener, K. ;
Wagner, J. A. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2008, 84 (04) :475-480
[4]   Results From the IQ-CSRC Prospective Study Support Replacement of the Thorough QT Study by QT Assessment in the Early Clinical Phase [J].
Darpo, B. ;
Benson, C. ;
Dota, C. ;
Ferber, G. ;
Garnett, C. ;
Green, C. L. ;
Jarugula, V. ;
Johannesen, L. ;
Keirns, J. ;
Krudys, K. ;
Liu, J. ;
Ortemann-Renon, C. ;
Riley, S. ;
Sarapa, N. ;
Smith, B. ;
Stoltz, R. R. ;
Zhou, M. ;
Stockbridge, N. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2015, 97 (04) :326-335
[5]   Implications of the IQ-CSRC Prospective Study: Time to Revise ICH E14 [J].
Darpo, Borje ;
Garnett, Christine ;
Keirns, James ;
Stockbridge, Norman .
DRUG SAFETY, 2015, 38 (09) :773-780
[6]   The IQ-CSRC Prospective Clinical Phase 1 Study: "Can Early QT Assessment Using Exposure Response Analysis Replace the Thorough QT Study?" [J].
Darpo, Borje ;
Sarapa, Nenad ;
Garnett, Christine ;
Benson, Charles ;
Dota, Corina ;
Ferber, Georg ;
Jarugula, Venkateswar ;
Johannesen, Lars ;
Keirns, James ;
Krudys, Kevin ;
Ortemann-Renon, Catherine ;
Riley, Steve ;
Rogers-Subramaniam, Danise ;
Stockbridge, Norman .
ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2014, 19 (01) :70-81
[7]   CARDIOVASCULAR-RESPONSES TO POSTURAL CHANGES - DIFFERENCES WITH AGE FOR WOMEN AND MEN [J].
FREY, MAB ;
TOMASELLI, CM ;
HOFFLER, WG .
JOURNAL OF CLINICAL PHARMACOLOGY, 1994, 34 (05) :394-402
[8]   Methodologies to characterize the QT/corrected QT interval in the presence of drug-induced heart rate changes or other autonomic effects [J].
Garnett, Christine E. ;
Zhu, Hao ;
Malik, Marek ;
Fossa, Anthony A. ;
Zhang, Joanne ;
Badilini, Fabio ;
Li, Jianguo ;
Darpoe, Boerje ;
Sager, Philip ;
Rodriguez, Ignacio .
AMERICAN HEART JOURNAL, 2012, 163 (06) :912-930
[9]   QT interval: How to measure it and what is "normal" [J].
Goldenberg, I ;
Moss, AJ ;
Zareba, W .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (03) :333-336
[10]   Reproducibility of QTc interval changes after meal intake [J].
Hnatkova, Katerina ;
Kowalski, Donna ;
Keirns, James J. ;
van Gelderen, E. Marcel ;
Malik, Marek .
JOURNAL OF ELECTROCARDIOLOGY, 2015, 48 (02) :194-202