Abstract
Cardiac amyloid deposition in FMF may cause increased QT dispersion (QTd), a marker for cardiac arrhythmias. The aim of this study was to further evaluate repolarization dispersion in familial Mediterranean fever (FMF) with amyloidosis. Findings on 12-lead electrocardiography were compared between 18 patients with FMF-amyloidosis and 18 age- and sex-matched control subjects. Repolarization and dispersion parameters were computed with designated computer software, and results of the 5 beats were subsequently averaged. There were no statistically significant differences between the groups as to average corrected QT interval length, average QTd interval, average QT corrected dispersion, or QT dispersion ratio. JT dispersion and JT corrected dispersion were also similar in both groups. In conclusion, patients with FMF-amyloidosis seem to have QT and JT dispersion parameters similar to those of healthy subjects. Future research and longer follow-ups should be conducted in order to evaluate the prognostic importance of repolarization dispersion parameters in amyloidosis of FMF.
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References
Onen F (2006) Familial Mediterranean fever. Rheumatol Int 26:489–496
Livneh A, Langevitz P, Zemer D, Zaks N, Kees S, Lidar T, Migdal A, Padeh S, Pras M (1997) Criteria for the diagnosis of familial Mediterranean fever. Arth Rheum 40:1879–1885
Lachmann HJ, Goodman HJ, Gilbertson JA, Gallimore JR, Sabin CA, Gillmore JD, Hawkins PN (2007) Natural history and outcome in systemic AA amyloidosis. N Engl J Med 356:2361–2371
Odabas AR, Cetinkaya R, Selcuk Y, Erman Z, Bilen H (2002) Clinical and biochemical outcome of renal amyloidosis. Int J Clin Pract 56:342–344
Livneh A, Langevitz P, Shinar Y, Zaks N, Kastner DL, Pras M, Pras E (1999) MEFV mutation analysis in patients suffering from amyloidosis of familial Mediterranean fever. Amyloid 6:1–6
Yildiz A, Akkaya V, Kilicaslan I, Turkmen A, Gorcin B, Atilgan D, Sever MS (2001) Cardiac and intestinal amyloidosis in a renal transplant recipient with familial Mediterranean fever. J Nephrol 14:125–127
Langevitz P, Livneh A, Neumann L, Buskila D, Shemer J, Amolsky D, Pras M (2001) Prevalence of ischemic heart disease in patients with familial Mediterranean fever. Isr Med Assoc J 3:9–12
Yuksel S, Ayvazyan L, Gasparyan AY (2010) Familial Mediterranean fever as an emerging clinical model of atherogenesis associated with low-grade inflammation. Open Cardiovasc Med J 4:51–56
Nussinovitch N, Livneh A, Katz K, Nussinovitch M, Volovitz B, Lidar M, Nussinovitch U (2010) P wave dispersion in familial Mediterranean fever. Rheumatol Int. doi:10.1007/s00296-010-1508-0
Acar G, Akcay A, Sayarlioglu M, Sokmen A, Sokmen G, Koroglu S, Gunduz M, Ispiroglu M, Tuncer C (2009) Assessment of atrial conduction time in patients with familial Mediterranean fever. Pacing Clin Electrophysiol 32:308–313
Rozenbaum M, Naschitz JE, Yudashkin M, Sabo E, Shaviv N, Gaitini L, Zuckerman E, Yeshurun D, Rosner I (2004) Cardiovascular reactivity score for the assessment of dysautonomia in familial Mediterranean fever. Rheumatol Int 24:147–152
Nussinovitch N, Livneh A, Katz K, Langevitz P, Feld O, Nussinovitch M, Volovitz B, Lidar M, Nussinovitch U (2011) Heart rate variability in familial Mediterranean fever. Rheumatol Int 31:39–43
Malik M, Batchvarov VN (2000) Measurement, interpretation and clinical potential of QT dispersion. J Am Coll Cardiol 36:1749–1766
Akcay A, Acar G, Sayarlioglu M, Sokmen A, Kaya H, Ispiroglu M, Koroglu S (2009) QT dispersion and transmural dispersion of repolarization in patients with familial Mediterranean fever. Mod Rheumatol 19:550–555
Nussinovitch N, Livneh A, Katz K, Langevitz P, Feld O, Nussinovitch M, Volovitz B, Lidar M, Nussinovitch U (2010) QT dispersion in uncomplicated familial Mediterranean fever. Clin Rheumatol 29:1353–1356
Hubacek JA (2009) Eat less and exercise more: is it really enough to knock down the obesity pandemia? Physiol Res 58(Suppl 1):S1–S6
Goldenberg I, Moss AJ, Zareba W (2006) QT interval: how to measure it and what is normal. J Cardiovasc Electrophysiol 17:333–336
Shah MJ, Wieand TS, Rhodes LA, Berul CI, Vetter VL (1997) QT and JT dispersion in children with long QT syndrome. J Cardiovasc Electrophysiol 8:642–648
Durakovic Z, Misigoj-Durakovic M, Corovic N (2001) Q-T and JT dispersion in the elderly with urban hypothermia. Int J Cardiol 80:221–226
Dilaveris P, Gialafos E, Pantazis A, Synetos A, Triposkiadis F, Stamatelopoulos S, Gialafos J (2001) Spatial aspects of ventricular repolarization in postinfarction patients. Pacing Clin Electrophysiol 24:157–165
Shimizu H, Ohnishi Y, Inoue T, Yokoyama M (2001) QT and JT dispersion in patients with monomorphic or polymorphic ventricular tachycardia/ventricular fibrillation. J Electrocardiol 34:119–125
Kose S, Aytemir K, Can I, Iyisoy A, Kursaklioglu H, Amasyali B, Kilic A, Isik E, Oto A, Demirtas E (2003) Seasonal variability of QT dispersion in healthy young males. Ann Noninvasive Electrocardiol 8:8–13
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We thank Phyllis Curchack Kornspan for her editorial assistance. This study is dedicated to the memory of Haim Gueron.
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Udi Nussinovitch and Naomi Nussinovitch contributed equally to this work.
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Nussinovitch, U., Nussinovitch, N., Nussinovitch, M. et al. QT dispersion in amyloidosis due to familial Mediterranean fever. Rheumatol Int 32, 1945–1948 (2012). https://doi.org/10.1007/s00296-011-1896-9
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DOI: https://doi.org/10.1007/s00296-011-1896-9