Decreased QTc dispersion after coronary revascularization: relationships with the quantitative degree of improvement in myocardial ischemia.
10.4070/kcj.2000.30.8.998
- Author:
Sang Sun PARK
;
Gi Byoung NAM
;
Kee Joon CHOI
;
Cheol Whan LEE
;
Myeong Ki HONG
;
Seong Wook PARK
;
Seung Jung PARK
;
Jung Woo SHIN
;
Dae Hyuk MOON
;
You Ho KIM
- Publication Type:Original Article
- Keywords:
Tl-201 SPECT
- MeSH:
Dipyridamole;
Electrocardiography;
Humans;
Myocardial Infarction;
Myocardial Ischemia*;
Percutaneous Coronary Intervention;
Tomography, Emission-Computed, Single-Photon;
Transplants
- From:Korean Circulation Journal
2000;30(8):998-1003
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECT & METHOD: Thirty-four patients (mean age: 58.1+/-8.3 years, M:F=1:13) with angina in the absence of previous myocardial infarction, who underwent percutaneous coronary intervention (stenting and/or balloon PTCA, n=5) or coronary arterial bypass grafting (CABG, n=) were evaluated to assess the relationships between the degree of improvement in myocardial dipyridamole Tl-201 SPECT and the degree of decrease in QTc dispersion after coronary revascularization. QTc dispersions were measured manually using digitizer by a single observer from ECGs printed at 25mm/sec, 1 day before, immediately, 1 day, and 1 month after the revascularization procedure. Myocardial Tl-201 SPECTs were performed before and 1 month after the revascularization and ischemic indices were measured in all cases. RESULTS: Mean QTc dispersion was 51.4+/-17.0msec before revascularization, 42.6+/-15.1msec immediately after, 45.6+/-19.3msec 1 day after and 37.4+/-11.6msec 1 month after revascularization. The decrease of QTc dispersion immediate (p=.001) and 1 month (p<0.001) after revascularization, were statistically significant. Mean Tl-201 SPECT ischemic index measured before the revascularization (7.8+/-5.9) was significantly higher (p<0.001) than the one measured 1 month after the revascularization (1.5+/-2.8). But, in deltaischemic index (ischemic index before revascularization-ischemic index 1 month afer revascularization), there was no significant difference between the patients with decrease in QTc dispersion after revascularization(6.2+/-6.3, n=7) and the patients without decrease in QTc dispersion (6.6+/-5.2, n=). There was no statistically significant correlation between deltaQTc (QTc dispersion before revascularization-QTc dispersion 1 month afer revascularization) and delta ischemic index in total subjects. CONCLUSION: QTc dispersions decrease after successful coronary revascularizations in patients with angina, but considering the relationships between the changes of QTc dispersions and ischemic indices in myocardial dipyridamole Tl-201 SPECT, the degree of decrease in QTc dispersion after coronary revascularization does not have the relationships with the quantitative degree of improvement in myocardial ischemia.
