ratio for microalbuminuria was only 1.8 in a recent overview. 5 The question arises why analysis of QT interval should be able to predict cardiac death.QT dispersion may be a composite term reflecting electrical inhomogeneity as a result of ischaemia, left ventricular dilatation, left ventricular hypertrophy, cardiac fibrosis, and autonomic neuropathy.Each one of these individually confers increased cardiac risk, and this may be why QT dispersion, as a composite of them, is highly predictive of cardiac death.The clinical value of analysing the QT interval may therefore be that it could be used as a screening test to select diabetic patients for more extensive cardiac investigations.Importantly, the time between measuring a prolonged QT interval and the subsequent cardiac death is many years, which provides ample opportunity to intervene.
No takes yet. Share an insight, caveat, or question.
Danesh et al. (1998) studied this question.