Heart rate influence on the QT variability risk factors
File(s)diagnostics-10-01096.pdf (4.92 MB)
Published version
Author(s)
Type
Journal Article
Abstract
QT interval variability, mostly expressed by QT variability index (QTVi), has repeatedly been used in risk diagnostics. Physiologic correlates of QT variability expressions have been little researched especially when measured in short 10-second electrocardiograms (ECGs). This study investigated different QT variability indices, including QTVi and the standard deviation of QT interval durations (SDQT) in 657,287 10-second ECGs recorded in 523 healthy subjects (259 females). The indices were related to the underlying heart rate and to the 10-second standard deviation of RR intervals (SDRR). The analyses showed that both QTVi and SDQT (as well as other QT variability indices) were highly statistically significantly (p < 0.00001) influenced by heart rate and that QTVi showed poor intra-subject reproducibility (coefficient of variance approaching 200%). Furthermore, sequential analysis of regression variance showed that SDQT was more strongly related to the underlying heart rate than to SDRR, and that QTVi was influenced by the underlying heart rate and SDRR more strongly than by SDQT (p < 0.00001 for these comparisons of regression dependency). The study concludes that instead of QTVi, simpler expressions of QT interval variability, such as SDQT, appear preferable for future applications especially if multivariable combination with the underlying heart rate is used.
Date Issued
2020-12-16
Date Acceptance
2020-12-14
Citation
Diagnostics, 2020, 10 (12)
ISSN
2075-4418
Publisher
MDPI AG
Journal / Book Title
Diagnostics
Volume
10
Issue
12
Copyright Statement
©2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open accessarticle distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0/)
License URL
Sponsor
British Heart Foundation
Grant Number
NH/16/2/32499
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
QT variability
RR variability
QT variability index
underlying heart rate
sequential analysis of regression variance
SUDDEN CARDIAC DEATH
T-WAVE ALTERNANS
INTERVAL VARIABILITY
REPOLARIZATION LABILITY
VENTRICULAR-TACHYCARDIA
INTERNATIONAL SOCIETY
MYOCARDIAL-INFARCTION
PHYSIOLOGICAL-BASIS
RATE TURBULENCE
ECG MEASUREMENT
QT variability
QT variability index
RR variability
sequential analysis of regression variance
underlying heart rate
Publication Status
Published
Article Number
ARTN 1096