[JTc prolongation in hypertrophic cardiomyopathy amd arterial hypertension].
Pathological long duration of QTc and JTc intervals is non-questionable factor of sudden death. Information of the investigation of electrocardiogram increases during physical exercise test or transesophageal pacing of the left atrium.


OBJECTIVE
The search of the factors of sudden death in hypertrophic cardiomyopathy and arterial hypertension patients and healthy persons from their electrocardiographic changes of JTc interval applying transesophageal pacing of the left atrium.


METHODS
It was done transesophageal pacing to 12 healthy persons, 12 arterial hypertension and 13 hypertrophic cardiomyopathy patients. Pacing rates of 80, 100 and 130 bpm were applied for 3 min each.


RESULTS
There was no prolongation of JTc in control group. JTc prolongation (more than 0.35 s) appeared in 3 arterial hypertension patients and 3 hypertrophic cardiomyopathy patients. Five hypertrophic cardiomyopathy patients and one arterial hypertension patient had prolonged JTc interval at the rest electrocardiogram.


CONCLUSIONS
Transesophageal pacing of the left atrium helped to detect pathological long JTc interval in arterial hypertension and hypertrophic cardiomyopathy patients, when JTc interval was not prolonged at the rest electrocardiogram.
Rekiene
Daiva Emilija
DE
Kauno medicinos universiteto Kardiologijos institutas, Sukileliu 17, 3007 Kaunas.
D000328:Adult; D000367:Age Factors; D000368:Aged; D002304:Cardiac Pacing, Artificial; D002312:Cardiomyopathy, Hypertrophic / Q000503:physiopathology*; D016009:Chi-Square Distribution; D003627:Data Interpretation, Statistical; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D008133:Long QT Syndrome / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D008955:Models, Cardiovascular; D012737:Sex Factors