Key result
PCI reduces QT dispersion and QTc intervals in patients with ischemic heart disease.
Why the study?
ECG parameters are significant in the prognosis of ischemia and cardiovascular conditions, and this study aimed to demonstrate the association between PCI and QT dispersion.
Does percutaneous coronary intervention (PCI) reduce QT dispersion (QTd) in patients undergoing revascularization?
Systematic Review (n=1,239)
Does percutaneous coronary intervention (PCI) reduce QT dispersion (QTd) in patients undergoing revascularization?
Answers are grounded in this paper and cite their sources.
Successful percutaneous coronary intervention is associated with a significant reduction in QT dispersion and corrected QT intervals, suggesting improved myocardial electrical stability post-revascularization.
Electrocardiography (ECG) parameters are significant in the prognosis of ischemia and other cardiovascular conditions. Reperfusion or revascularization techniques are essential in reestablishing blood flow to ischemic tissues. This study aims to demonstrate the association between percutaneous coronary intervention (PCI), a revascularization technique, and the electrocardiography (ECG) parameter, QT dispersion (QTd). We conducted a systematic review of the association between PCI and QTd through a literature search in three electronic databases, ScienceDirect, PubMed, and Google Scholar, for empirical studies published in English. Review Manager (RevMan) 5.4 (Cochrane Collaboration, Oxford, England) was used for statistical analysis. Of 3,626 studies, 12 articles met the inclusion criteria, enrolling a total of 1,239 patients. After a successful PCI procedure, QTd and corrected QT (QTc) tremendously reduced at various time intervals with statistical significance in most of the studies. There was a clear association between ECG parameters QTd, QTc, and corrected QT dispersion (QTcd), and PCI, in that there is a considerable reduction in these ECG parameters after PCI treatment.
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Dahrab et al. (2023) conducted a systematic review in Ischemic heart disease (n=1,239). Percutaneous coronary intervention (PCI) vs. Baseline (pre-PCI) or other revascularization methods was evaluated on Change in QT dispersion (QTd) and corrected QT (QTc) after PCI. Percutaneous coronary intervention significantly reduced QT dispersion and corrected QT intervals at various time intervals post-procedure in patients with ischemic heart disease.
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