Erschienen in:
30.04.2019 | Supraventricular Tachycardia
The relationship between blood glucose and nocturnal supraventricular tachycardia attacks in non-diabetic patients
verfasst von:
Abdullah Orhan Demirtas, Yahya Kemal Icen, Hasan Koca, Hilmi Erdem Sumbul, Derya Demirtas, Zikret Koseoglu, Mevlut Koc
Erschienen in:
Journal of Interventional Cardiac Electrophysiology
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Ausgabe 1/2019
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Abstract
Purpose
Decrease in the blood glucose level may trigger the tachycardia or bradycardia because it has an arrhythmogenic effect on the heart. Our purpose in this study was to investigate whether the blood glucose level has an effect on patients who attended to the hospital with nocturnal supraventricular tachycardia (SVT).
Methods
We included 151 patients in our study who have SVT history. Plasma glucose levels which were taken during night hours, electrolytes, and 12 lead electrocardiography were evaluated.
Results
There were 105 patients without nocturnal SVT attack and 46 patients with nocturnal SVT attack. Patients with nocturnal SVT attack, blood glucose level, potassium, calcium, and hemoglobin levels were significantly lower, hs-CRP was significantly higher, basal cycle length (BCL) was significantly short, and QT interval was significantly longer. It was found that blood glucose (O.R. = 0.904, 95% GA 0.828–0.986, p = 0.023) and potassium levels (O.R. = 0.128, 95% GA 0.029–0.561, p = 0.006) and basal cycle length (BCL) (O.R. 0.988, 95% GA, 0.980–0.996, p = 0.005) values were in independently correlated with nocturnal SVT attacks.
Conclusion
The decrease in blood glucose level of the patients who are being followed with SVT diagnosis might trigger the nocturnal SVT attacks.