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T Wave Amplitude Correction of QT Interval Variability for Improved Repolarization Lability Measurement

Overview of attention for article published in Frontiers in Physiology, June 2016
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Title
T Wave Amplitude Correction of QT Interval Variability for Improved Repolarization Lability Measurement
Published in
Frontiers in Physiology, June 2016
DOI 10.3389/fphys.2016.00216
Pubmed ID
Authors

Martin Schmidt, Mathias Baumert, Hagen Malberg, Sebastian Zaunseder

Abstract

The inverse relationship between QT interval variability (QTV) and T wave amplitude potentially confounds QT variability assessment. We quantified the influence of the T wave amplitude on QTV in a comprehensive dataset and devised a correction formula. Three ECG datasets of healthy subjects were analyzed to model the relationship between T wave amplitude and QTV. To derive a generally valid correction formula, linear regression analysis was used. The proposed correction formula was applied to patients enrolled in the Evaluation of Defibrillator in Non-Ischemic Cardiomyopathy Treatment Evaluation trial (DEFINITE) to assess the prognostic significance of QTV for all-cause mortality in patients with non-ischemic dilated cardiomyopathy. A strong inverse relationship between T wave amplitude and QTV was demonstrated, both in healthy subjects (R (2) = 0.68, p < 0.001) and DEFINITE patients (R (2) = 0.20, p < 0.001). Applying the T wave amplitude correction to QTV achieved 2.5-times better group discrimination between patients enrolled in the DEFINITE study and healthy subjects. Kaplan-Meier estimator analysis showed that T wave amplitude corrected QTVi is inversely related to survival (p < 0.01) and a significant predictor of all-cause mortality. We have proposed a simple correction formula for improved QTV assessment. Using this correction, predictive value of QTV for all-cause mortality in patients with non-ischemic cardiomyopathy has been demonstrated.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Germany 1 6%
Unknown 16 94%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 29%
Researcher 3 18%
Student > Doctoral Student 1 6%
Professor 1 6%
Student > Master 1 6%
Other 3 18%
Unknown 3 18%
Readers by discipline Count As %
Medicine and Dentistry 6 35%
Engineering 2 12%
Biochemistry, Genetics and Molecular Biology 1 6%
Psychology 1 6%
Mathematics 1 6%
Other 2 12%
Unknown 4 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 June 2016.
All research outputs
#20,332,117
of 22,876,619 outputs
Outputs from Frontiers in Physiology
#9,418
of 13,671 outputs
Outputs of similar age
#293,579
of 341,017 outputs
Outputs of similar age from Frontiers in Physiology
#115
of 162 outputs
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