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QT间期延长导致心血管事件与猝死的相关机制

张兆国 赵兰婷 孔令云 张萍

实用心电学杂志2023,Vol.32Issue(6):381-388,8.
实用心电学杂志2023,Vol.32Issue(6):381-388,8.DOI:10.13308/j.issn.2095-9354.2023.06.001

QT间期延长导致心血管事件与猝死的相关机制

Related mechanisms of cardiovascular events and sudden death due to QT interval prolongation

张兆国 1赵兰婷 1孔令云 1张萍1

作者信息

  • 1. 102218 北京,北京清华长庚医院心血管中心
  • 折叠

摘要

Abstract

This paper reviews the definition and measurement methods of QT interval prolongation,lists some clinical research evidences that QT interval prolongation leads to malignant ventricular arrhythmia and sudden cardiac death.It concludes that the mechanism of cardiovascular events and sudden death due to QT interval prolongation may be closely related to the interaction of multiple factors such as increased QT interval dispersion,uncoordinated coupling of myocardial electrical excitation and mechanical contraction,and imbalance in cardiac autonomic function regulation.It is suggested that clinicians should be highly alerted to the risk of acquired QTc prolongation caused by certain drugs in order to avoid adverse outcomes.

关键词

QT间期延长/不良心血管事件/猝死/发生机制

Key words

QT interval prolongation/adverse cardiovascular event/sudden death/mechanism

分类

医药卫生

引用本文复制引用

张兆国,赵兰婷,孔令云,张萍..QT间期延长导致心血管事件与猝死的相关机制[J].实用心电学杂志,2023,32(6):381-388,8.

基金项目

重大科技成果培育计划项目(12019B4009) (12019B4009)

实用心电学杂志

2095-9354

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