妊娠期糖尿病与健康母亲新生儿QT间期的比较

E. Alaee, Maryam Koochaki, M. Besharat, Hassan Esmaeili
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摘要

背景:随着世界范围内肥胖的增加,发生代谢综合征和糖尿病等疾病的风险也在增加。妊娠期糖尿病(GDM)或母体高血糖是新生儿心功能障碍的危险因素。本研究比较了妊娠期糖尿病新生儿与健康母亲的QT间期。患者和方法:在本病例对照研究中,2016年3月至2017年2月,在伊朗东北部Gorgan的Sayyad-e-Shirazi医院,纳入了患有GDM的足月新生儿(病例组,N=42)和健康的非糖尿病母亲(对照组,N=42)。一位儿科心脏病专家通过多普勒超声心动图(Zonare ZS3)在出生后的前两周评估了室间隔肥大。记录标准12导联心电图10秒,计算校正后的QT (QTc)值。采用最新版SPSS软件对数据进行分析,采用卡方检验和t检验评价两组间QT值等指标的差异。p值小于0.05被认为具有统计学意义。结果:6例新生儿出现先天性心脏病。与对照组相比,病例组QT间期(249±36 vs 245±28 ms)和间隔厚度(6.09±1.07 vs 5±1 mm)显著增高,QTc值(382±44.06 vs 392±34 ms)显著降低(P < 0.05)
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Comparison of QT interval in neonates with maternal gestational diabetes and healthy mothers
Background: The risk of developing metabolic syndrome and diseases as Diabetes mellitus have been raised as worldwide rise of obesity. Gestational diabetes (GDM) or maternal hyperglycemia is a risk factor for cardiac dysfunction in neonates. The present study compared QT interval in neonates with maternal gestational diabetes and healthy mothers.Patients and Methods: In this case-control study, term neonates with maternal GDM (case group, N = 42) and those with healthy non-diabetic mothers (control group, N=42) have been included from March 2016 to February 2017, in Sayyad-e-Shirazi hospital, Gorgan, Northeast of Iran. A pediatric cardiologist evaluated septal hypertrophy by Doppler echocardiography (Zonare ZS3) during first two weeks after birth. A standard 12-lead electrocardiogram was recorded for 10 seconds and corrected QT (QTc) value was calculated. Data were analyzed in latest version of SPSS using Chi-square and t-test to evaluate the differences in QT values and other indices between two groups. P-values less than 0.05 were considered statistically significant.Results: The present study showed congenital heart diseases in 6 neonates. Significantly higher QT (249±36 vs. 245± 28 ms) and septal thickness (6.09±1.07 vs. 5± 1 mm) and lower QTc value (382±44.06 vs. 392± 34 ms) were seen in case group compared to controls (P
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