Effect of Deep Inspiration and Expiration on QTc Interval in Normal Healthy Subjects. 2018

Y Gautam, and M Bade
Department of Physiology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Background It is a well known fact that phases of respiration cause change in heart rate and autonomic tone of the heart. But how cardiovascular autonomic reflexes affect the electrocardiographic Heart rate-corrected QT interval (QTc) during the inspiratory and expiratory phase of respiration also need to be established. Objective To determine whether the respiratory phases influence the QTc interval or not. Method This was a quantitative, observational, cross-sectional study done at Kathmandu University School of Medical Sciences, Pre-Clinical Basic Science Block, Chaukot. Total one hundred students between 18 to 25 years of age, studying at KUSMS Pre-clinical science Block were included. QTc interval was recorded for normal respiration, deep inspiration and deep expiration by electrographic recording using ADInstruments. The values obtained were later analyzed using paired t-test in SPSS 16.0. Result The mean QTc interval during normal respiration was 392.1±21.6 milliseconds, during deep inspiration was 384.2±15.5 milliseconds and that following deep expiration was 395.0±13.1 milliseconds. There was no significant difference between QTc interval at the end of deep inspiration (p value < 0.05) and QTc interval at the end of deep inspiration (p value < 0.05) when compared with normal respiration. Conclusion This study shows that neither the inspiratory phase nor expiratory phase alters the QTc interval in normal healthy individual. Thus, it can also be implied that alteration in inspiratory and expiratory phase in various respiratory diseases does not cause any change in QTc interval.

UI MeSH Term Description Entries
D008297 Male Males
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005260 Female Females
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001239 Inhalation The act of BREATHING in. Inhaling,Inspiration, Respiratory,Respiratory Inspiration
D045853 Exhalation The act of BREATHING out. Exhaling,Expiration, Respiratory,Exhalations,Expirations, Respiratory,Respiratory Expiration,Respiratory Expirations

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