The effect of propofol on frontal QRS‐T angle in patients undergoing elective colonoscopy procedure.

What is known and objective: Propofol is a most commonly used anaesthetic drug for conscious sedation in outpatient procedures. Previous studies have shown that propofol may affect ventricular repolarization based on QT and Tp‐e intervals. Frontal QRS‐T angle is a marker of ventricular depolarizatio...

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Publicado en:Journal of Clinical Pharmacy & Therapeutics Vol. 45; no. 1; pp. 185 - 191
Autores principales: Tascanov, Mustafa Begenc, Tanriverdi, Zulkif, Gungoren, Fatih, Besli, Feyzullah, Bicer Yesilay, Asuman, Altiparmak, Halil Ibrahim, Bayram, Gursel, Demir, Kadir
Formato: research tables/charts tracings Journal Article
Publicado: Wiley-Blackwell Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The effect of propofol on frontal QRS‐T angle in patients undergoing elective colonoscopy procedure.
      aug:
        au:
          Tascanov, Mustafa Begenc
          Tanriverdi, Zulkif
          Gungoren, Fatih
          Besli, Feyzullah
          Bicer Yesilay, Asuman
          Altiparmak, Halil Ibrahim
          Bayram, Gursel
          Demir, Kadir
        affil: Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa Turkey
      sug:
        subj:
          Surgery, Elective
          Colposcopy
          Propofol Pharmacodynamics
          QRS Complex
          Human
          Female
          Male
          Surgical Patients
          Pre-Excitation Syndromes
          Heart Ventricle Drug Effects
          Female
          Male
      ab: What is known and objective: Propofol is a most commonly used anaesthetic drug for conscious sedation in outpatient procedures. Previous studies have shown that propofol may affect ventricular repolarization based on QT and Tp‐e intervals. Frontal QRS‐T angle is a marker of ventricular depolarization and repolarization difference. However, there is no study investigating the effect of propofol on frontal QRS‐T angle. In this study, we aimed to investigate the effect of propofol on frontal QRS‐T angle in patients undergoing colonoscopy procedure. Method: A total of 56 patients (53.5% females) who underwent colonoscopy procedure were included in this study. All patients underwent 12‐lead surface electrocardiograms (ECGs) just before colonoscopy and 15 minutes after colonoscopy. QT interval, QTc interval, Tp‐e interval, Tp‐e/QT, Tp‐e/QTc and frontal QRS‐T angle were calculated from 12‐lead ECGs. Results and discussion: The frontal QRS‐T angle was significantly increased 15 minutes after colonoscopy compared to basal value (36.2 ± 24.3 vs. 29.5 ± 23.6, P =.003). In addition, repolarization parameters including QT, QTc and Tp‐e intervals were significantly prolonged at 15 minutes after colonoscopy compared to basal value, except Tp‐e/QT and Tp‐e/QTc. Significant ventricular or supraventricular arrhythmias were not observed in any patient during the procedure. What is new and conclusion: In this study, we found that propofol administration increased the frontal QRS‐T angle in patients undergoing colonoscopy procedure. Given that a prolonged frontal QRS‐T angle is associated with ventricular arrhythmias, it may be safer to monitor those patients receiving propofol during colonoscopy procedures.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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