Tong, Yq., Sun, M., Hu, Cj. et al. Changes of QT Dispersion in Hemodialysis Patients after Administrating Zhigancao Decoction (炙甘草汤)., Chin. J. Integr. Med. 24, 627–631 (2018). https://doi.org/10.1007/s11655-016-2599-6
Yan-qing Tong, Min Sun, Chun-jie Hu, et al. Changes of QT Dispersion in Hemodialysis Patients after Administrating Zhigancao Decoction (炙甘草汤)[J]. Chinese Journal of Integrative Medicine, 2018,24(8):627-631.
Tong, Yq., Sun, M., Hu, Cj. et al. Changes of QT Dispersion in Hemodialysis Patients after Administrating Zhigancao Decoction (炙甘草汤)., Chin. J. Integr. Med. 24, 627–631 (2018). https://doi.org/10.1007/s11655-016-2599-6DOI:
Yan-qing Tong, Min Sun, Chun-jie Hu, et al. Changes of QT Dispersion in Hemodialysis Patients after Administrating Zhigancao Decoction (炙甘草汤)[J]. Chinese Journal of Integrative Medicine, 2018,24(8):627-631. DOI: 10.1007/s11655-016-2599-6.
Changes of QT Dispersion in Hemodialysis Patients after Administrating Zhigancao Decoction (炙甘草汤)
摘要
To observe the alteration of QT dispersion (QTd) and QTc dispersion (QTcd) in hemodialysis patients after oral administration of Zhigancao Decoction (炙甘草汤
Roasted Licorice Decoction
RLD). To investigate the alteration of QTd and QTcd in 68 routine hemodialysis patients before and after hemodialysis with 12-lead electrocardiogram (ECG) after orally administrated RLD for 4 weeks. Blood was also taken for measurement of plasma electrolytes
liver function
renal function
hemoglobin (Hgb) and hematocrit (HCT). After hemodialysis
QTd and QTcd were prolonged evidently; the difference was significant between before and after hemodialysis (P<0.05). After RLD orally administrated for 4 weeks
QTd and QTcd only slightly increased after dialysis compared with pre-dialysis (P>0.05). The QTd and QTcd of the post-therapy-post-dialysis decreased significantly compared with the pre-therapy-post-dialysis (P<0.05). There were no other significant changes in other variables (post-therapy-pre-dialysis vs. pre-therapy-pre-dialysis
or post-therapy-post-dialysis vs. pre-therapy-post-dialysis;P>0.05). After therapy
the number of patients with supraventricular arrhythmia
occasional ventricular premature beat and multiple ventricular premature beat were decreased from 15 to 4
10 to 2 and 7 to 1
respectively. RLD therapy not only lowered the increased QTd and QTcd after hemodialysis
but also displayed a safety profile.
Abstract
To observe the alteration of QT dispersion (QTd) and QTc dispersion (QTcd) in hemodialysis patients after oral administration of Zhigancao Decoction (炙甘草汤
Roasted Licorice Decoction
RLD). To investigate the alteration of QTd and QTcd in 68 routine hemodialysis patients before and after hemodialysis with 12-lead electrocardiogram (ECG) after orally administrated RLD for 4 weeks. Blood was also taken for measurement of plasma electrolytes
liver function
renal function
hemoglobin (Hgb) and hematocrit (HCT). After hemodialysis
QTd and QTcd were prolonged evidently; the difference was significant between before and after hemodialysis (P<0.05). After RLD orally administrated for 4 weeks
QTd and QTcd only slightly increased after dialysis compared with pre-dialysis (P>0.05). The QTd and QTcd of the post-therapy-post-dialysis decreased significantly compared with the pre-therapy-post-dialysis (P<0.05). There were no other significant changes in other variables (post-therapy-pre-dialysis vs. pre-therapy-pre-dialysis
or post-therapy-post-dialysis vs. pre-therapy-post-dialysis;P>0.05). After therapy
the number of patients with supraventricular arrhythmia
occasional ventricular premature beat and multiple ventricular premature beat were decreased from 15 to 4
10 to 2 and 7 to 1
respectively. RLD therapy not only lowered the increased QTd and QTcd after hemodialysis
but also displayed a safety profile.
关键词
chronic renal failureQT dispersionhemodialysisroasted licorice decoctionChinese Medicine
Keywords
chronic renal failureQT dispersionhemodialysisroasted licorice decoctionChinese Medicine
references
Bleyer AJ, Russell GB, Satko SG. Sudden and cardiac death rates in hemodialysis patients. Kidney Int 1999;55:1553–1559.
Fadi GA, David SR. Transmural electrophysiological heterogeneities underlying arrhythmogenesis in heart failure. Circ Res 2003;93:638–645.
Salles G, Xavier S, Sousa A, Hasslocher-Moreno A, Cardoso C. Prognostic value of QT interval parameters for mortality risk stratification in Chagas’ disease: results of a long-term follow-up study. Circulation 2003;108:305–312.
Tisdale JE, Rasty S, Padhi ID, Sharma ND, Rosman H. The effect of intravenous haloperidol on QT interval dispersion in critically ill patients: comparison with QT interval prolongation for assessment of risk of torsades de pointes. J Clin Pharmacol 2001;41:1310–1318.
Amy LA, Steven FB. The Use of complementary and alternative therapies among middle-aged and older cardiac patients. Am J Med Qual 2002;17:21–27.
Fu S, Zhang J, Gao X, Xia Y, Ferrelli R, Fauci A, et al. Clinical practice of traditional Chinese medicines for chronic heart failure. Heart Asia 2010;2:24–27.
Zhou CZ, Zhang DL, Wang T. Effect of serum containing Zhigancao Decoction on L-type calcium current in isolated single rabbit’s ventricular myocyte. J Beijing Univ Tradit Chin Med (Chin) 2007;30:468–471.
Liu X, Jing L. Study of roasted liquorice decoction on arrhythmia. China J Chin Meter Med (Chin) 2007;32:2471–2473.
Mohanty N, Wasserman AC, Walker P, Katz RJ. Prevention nitroglycerin tolerance with diuretics. Am Heart J 1995;130:522–527.
Weise F, London GM, Pannier BM, Guerin AP, Elghozi JL. Effect of hemodialysis on cardiovascular rhythms in endstage renal failure. Kidney Int 1995;47:1443–1452.
Jassal SV, Coulshed SJ, Douglas JF, Stout RW. Autonomic neuropathy predisposing to arrhythmias in hemodialysis patients. Am J Kidney Dis 1997;30:219–223.
Zuber M, Steinmann E, Huser B, Ritz R, Thiel G, Brunner F. Incidence of arrhythmias and myocardial ischaemia during haemodialysis and haemofiltration. Nephrol Dial Transplant 1989;4:632–634.
Ritz E, Rambausek M, Mall G, Ruffmann K, Mandelbaum A. Cardiac changes in uraemia and their possible relationship to cardiovascular instability on dialysis. Nephrol Dial Transplant 1990;51:93–97.
Davey PP, Bateman J, Mulligan IP, Forfar C, Barlow C, Hart G. QT interval dispersion in chronic heart failure and left ventricular hypertrophy: relation to autonomic nervous system and Holter tape abnormalities. Br Heart J 1994;71:268–273.
van de Loo A, Arendts W, Hohnloser SH. Variability of QTdispersion measurements in the surface electrocardiogram in patients with acute myocardial infarction and in normal subjects. Am J Cardiol 1994;74:1113–1118.
Veglio M, Borra M, Stevens LK, Fuller JH, Perin PC. The relation between QTc interval prolongation and diabetic complications. The EURODIAB IDDM Complication Study Group. Diabetologia 1999;42:68–75.
Antzelevitch C, Shimizu W, Yan GX, Sicouri S. Cellular basis for QT dispersion. J Electrocardiol 1998;30:168–175.
Lorincz I, Mátyus J, Zilahi Z, Kun C, Karányi Z, Kakuk G. QT dispersion in patients with end-stage renal failure and during hemodialysis. J Am Soc Nephrol 1999;10:1297–1302.
Morris ST, Galiatsou E, Stewart GA, Rodger RS, Jardine AG. QT dispersion before and after hemodialysis. J Am Soc Nephrol 1999;10:160–163.
Zhang ZJ, ed. Synopsis of prescriptions of the Golden Chamber. Beijing: New World Press; 2007:96.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 1996;3:1043–1065.
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相关机构
Georg-August-Universität Göttingen, Göttingen
The Key Laboratory of Geriatrics, Beijing Hospital and Beijing Institute of Geriatrics’ Ministry of Public Health
Medical Informatics Center, Peking University
Department of Hospital Management, Peking University Health Science Center, Peking University
Neurology Department of Peking University Third Hospital, Peking University