Beat-to-beat variability of QT intervals is increased in patients with drug-induced long-QT syndrome: a case control pilot study
Abstract
AIMS: Torsades de pointes arrhythmias (TdP) occur by definition in the setting of prolonged QT intervals. Animal models of drug induced Long-QT syndrome (dLQTS) have shown higher predictive value for proarrhythmia with beat-to-beat variability of repolarization duration (BVR) when compared with QT intervals. Here, we evaluate variability of QT intervals in patients with a history of drug-induced long QT syndrome (dLQTS) and TdP in absence of a mutation in any of the major LQTS genes. METHODS AND RESULTS: Twenty patients with documented TdP under drugs with QT-prolonging potential were compared with 20 matched control individuals. An observer blinded to diagnosis manually measured lead-II, RR, and QT intervals from 30 consecutive beats. BVR was determined from Poincaré plots of QT intervals as short-term variability (STV(QT) = Sigma|QT(n)(+1) - QT(n)|/[30 x radical2]). QRS interval and cycle length was comparable between study groups and controls. No difference was found in QTc between dLQTS and controls (428 +/- 25 vs. 421 +/- 34 ms, P = 0.26), whereas STV(QT) was significantly higher in dLQTS when compared with controls (8.1 +/- 3.7 vs. 3.6 +/- 1.3 ms, P = 0.001). Proarrhythmic predictive power of STV(QT) was superior to that of the QTc interval (AUC: 0.89 vs. 0.57, 95% CI: 0.79-0.99 vs. 0.39-0.75). CONCLUSION: In the absence of QTc prolongation, baseline STV(QT) characterized patients with documented drug-induced proarrhythmia. STV(QT) could prove to be a useful non-invasive, easily obtainable parameter aiding the identification of the patient at risk for potentially life threatening arrhythmia in the context of drugs with QT prolonging potential.
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Short-term beat-to-beat variability of QT intervals is increased in patients with drug-induced long-QT syndrome and was suggested to be used for identification of patients at risk for potentially life-threatening arrhythmias.
“Short-term beat-to-beat variability of QT intervals was found to be increased in patients with drug-induced long-QT syndrome and was suggested to use for the identification of patients at risk for potentially life-threatening arrhythmias.38”
From The Year of 2008 in Electrocardiology (2010) · cites this paper as [38]
Cites
Drug-induced prolongation of the QT interval
Roden, D. M. (2004) · New England Journal of Medicine · doi:10.1056/nejmra032426 · Cited by 1,965 · see citing works
hERG potassium channels and cardiac arrhythmia
Sanguinetti, M. C., & Tristani‐Firouzi, M. (2006) · Nature · doi:10.1038/nature04710 · Cited by 1,582 · see citing works
Spectrum of Mutations in Long-QT Syndrome Genes
Splawski, I., Shen, J., Timothy, K. W., Lehmann, M. H., Priori, S. G., Robinson, J. L., Moss, A. J., Schwartz, P. J., Towbin, J. A., Vincent, G. M., et al. (2000) · Circulation · doi:10.1161/01.cir.102.10.1178 · Cited by 1,231 · see citing works
Electrical Alternans and Vulnerability to Ventricular Arrhythmias
ROSENBAUM, D. S., Jackson, L. E., Smith, J. M., Garan, H., Ruskin, J. N., & Cohen, R. J. (1994) · New England Journal of Medicine · doi:10.1056/nejm199401273300402 · Cited by 1,141 · see citing works
KORA - A Research Platform for Population Based Health Research
Holle, R., Happich, M., Löwel, H., & Wichmann, H. ‐. (2005) · Das Gesundheitswesen · doi:10.1055/s-2005-858235 · Cited by 753 · see citing works
Self-citationTaking the “Idio” out of “Idiosyncratic”: Predicting Torsades de Pointes
Roden, D. M. (1998) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1998.tb00148.x · Cited by 662 · see citing works
The Measurement of the Q-T Interval of the Electrocardiogram
Lepeschkin, E., & Surawicz, B. (1952) · Circulation · doi:10.1161/01.cir.6.3.378 · Cited by 628 · see citing works
Beat-to-Beat QT Interval Variability
Berger, R. D., Kasper, E. K., Baughman, K. L., Marbán, E., Calkins, H. G., & Tomaselli, G. F. (1997) · Circulation · doi:10.1161/01.cir.96.5.1557 · Cited by 611 · see citing works
Schwartz, P. J., & Malliani, A. (1975) · American Heart Journal · doi:10.1016/0002-8703(75)90008-3 · Cited by 526 · see citing works
Hondeghem, L. M., Carlsson, L. G., & Duker, G. (2001) · Circulation · doi:10.1161/01.cir.103.15.2004 · Cited by 500 · see citing works
Locati, E. H., Zaręba, W., Moss, A. J., Schwartz, P. J., Vincent, G. M., Lehmann, M. H., Towbin, J. A., Priori, S. G., Napolitano, C., Robinson, J. L., et al. (1998) · Circulation · doi:10.1161/01.cir.97.22.2237 · Cited by 490 · see citing works
Haverkamp*, W. (2000) · Cardiovascular Research · doi:10.1016/s0008-6363(00)00119-x · Cited by 486 · see citing works
KORA-gen - Resource for Population Genetics, Controls and a Broad Spectrum of Disease Phenotypes
Wichmann, H. ‐., Gieger, C., & Illig, T. (2005) · Das Gesundheitswesen · doi:10.1055/s-2005-858226 · Cited by 417 · see citing works
Self-citationHohnloser, S. H., Klingenheben, T., & Singh, B. N. (1994) · Annals of Internal Medicine · doi:10.7326/0003-4819-121-7-199410010-00009 · Cited by 384 · see citing works
Thomsen, M. B., Verduyn, S. C., Štengl, M., Beekman, J. D. M., de Pater, G., van Opstal, J. M., Volders, P. G. A., & Vos, M. A. (2004) · Circulation · doi:10.1161/01.cir.0000145162.64183.c8 · Cited by 361 · see citing works
Self-citationThe congenital long QT syndromes from genotype to phenotype: clinical implications
Schwartz, P. J. (2005) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2005.01583.x · Cited by 236 · see citing works
van Opstal, J. M., Schoenmakers, M., Verduyn, S. C., de Groot, S. H. M., Leunissen, J. D. M., van der Hulst, F. F., Molenschot, M. C., Wellens, H. J. J., & Vos, M. A. (2001) · Circulation · doi:10.1161/hc4701.099579 · Cited by 193 · see citing works
Self-citationPolymorphous ventricular tachycardia: clinical characterization, therapy, and the QT interval.
Nguyen, P. T., Scheinman, M. M., & Seger, J. J. (1986) · Circulation · doi:10.1161/01.cir.74.2.340 · Cited by 168 · see citing works
Common Variants in Myocardial Ion Channel Genes Modify the QT Interval in the General Population
Pfeufer, A., Jalilzadeh, S., Perz, S., Mueller, J. C., Hinterseer, M., Illig, T., Akyol, M., Huth, C., Schöpfer-Wendels, A., Kuch, B., et al. (2005) · Circulation Research · doi:10.1161/01.res.0000161077.53751.e6 · Cited by 152 · see citing works
Self-citationThomsen, M. B., Volders, P. G. A., Beekman, J. D. M., Matz, J., & Vos, M. A. (2006) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2006.05.048 · Cited by 123 · see citing works
Self-citationKAAB, S. (2003) · European Heart Journal · doi:10.1016/s0195-668x(02)00806-0 · Cited by 111 · see citing works
Thomsen, M. B., Matz, J., Volders, P. G. A., & Vos, M. A. (2006) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2005.04.009 · Cited by 103 · see citing works
Self-citationWu, L., Shryock, J. C., Song, Y., & Belardinelli, L. (2006) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.105.094862 · Cited by 100 · see citing works
Thomsen, M. B., Oros, A., Schoenmakers, M., VANOPSTAL, J., MAAS, J., Beekman, J. D. M., & Vos, M. A. (2006) · Cardiovascular Research · doi:10.1016/j.cardiores.2006.11.025 · Cited by 95 · see citing works
Self-citationGbadebo, T. D., Trimble, R. W., Khoo, M. S. C., Temple, J., Roden, D. M., & Anderson, M. E. (2002) · Circulation · doi:10.1161/hc0602.103724 · Cited by 81 · see citing works
Thomsen, M. B., Truin, M., van Opstal, J. M., Beekman, J. D. M., Volders, P. G. A., Štengl, M., & Vos, M. A. (2005) · Basic Research in Cardiology · doi:10.1007/s00395-005-0519-6 · Cited by 53 · see citing works
Self-citationHinterseer, M., Irlbeck, M., Ney, L., Beckmann, B.-M., Pfeufer, A., Steinbeck, G., & Kääb, S. (2006) · British Journal of Anaesthesia · doi:10.1093/bja/ael118 · Cited by 9 · see citing works
Self-citationAntoons, G., Štengl, M., Thomsen, M. B., Beekman, J. D. M., Vos, M., & Sipido, K. R. (2005) · Biophysical Journal · Cited by 7 · see citing works
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1 of the 29 references couldn’t be matched to a known paper.
Cited by
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The Measurement of the QT Interval
Postema, P. G., & Wilde, A. A. M. (2014) · Current Cardiology Reviews · doi:10.2174/1573403x10666140514103612 · Cited by 336 · see citing works
Chugh, S. S., Reinier, K., Singh, T., Uy‐Evanado, A., Socoteanu, C., Peters, D., Mariani, R., Gunson, K., & Jui, J. (2009) · Circulation · doi:10.1161/circulationaha.108.797035 · Cited by 236 · see citing works
Baumert, M., Porta, A., Vos, M. A., Malík, M., Couderc, J., Laguna, P., Piccirillo, G., Smith, G. L., Tereshchenko, L. G., & Volders, P. G. A. (2016) · EP Europace · doi:10.1093/europace/euv405 · Cited by 236 · see citing works
Self-citationMechanisms, Risk Factors, and Management of Acquired Long QT Syndrome: A Comprehensive Review
Kallergis, E. M., Goudis, C. A., SIMANTIRAKIS, E. N., KOCHIADAKIS, G. E., & Vardas, P. E. (2012) · The Scientific World JOURNAL · doi:10.1100/2012/212178 · Cited by 199 · see citing works
Drug-induced proarrhythmia: risk factors and electrophysiological mechanisms
Frommeyer, G., & Eckardt, L. (2015) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2015.110 · Cited by 156 · see citing works
Hinterseer, M., Beckmann, B.-M., Thomsen, M. B., Pfeufer, A., Ulbrich, M., Sinner, M. F., Perz, S., Wichmann, H. ‐., Lengyel, C., Schimpf, R., et al. (2010) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2010.02.033 · Cited by 117 · see citing works
Self-citationRelation of Increased Short-Term Variability of QT Interval to Congenital Long-QT Syndrome
Hinterseer, M., Beckmann, B.-M., Thomsen, M. B., Pfeufer, A., Pozza, R. D., Loeff, M., Netz, H., Steinbeck, G., Vos, M. A., & Kääb, S. (2009) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2009.01.011 · Cited by 108 · see citing works
Self-citationClinical and Genetic Determinants of Torsade de Pointes Risk
Sauer, A. J., & Newton‐Cheh, C. (2012) · Circulation · doi:10.1161/circulationaha.111.080887 · Cited by 93 · see citing works
Beat-to-beat variability of repolarization as a new biomarker for proarrhythmia in vivo
Varkevisser, R., Wijers, S. C., van der Heyden, M. A. G., Beekman, J. D. M., Meine, M., & Vos, M. A. (2012) · Heart Rhythm · doi:10.1016/j.hrthm.2012.05.016 · Cited by 86 · see citing works
Self-citationJohnson, D. M., Heijman, J., Pollard, C. E., Valentin, J., Crijns, H. J. G. M., Abi‐Gerges, N., & Volders, P. G. A. (2009) · Journal of Molecular and Cellular Cardiology · doi:10.1016/j.yjmcc.2009.08.033 · Cited by 82 · see citing works
Gintant, G. A. (2008) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2008.04.010 · Cited by 81 · see citing works
Minimizing Repolarization-Related Proarrhythmic Risk in Drug Development and Clinical Practice
Farkas, A., & Nattell, S. (2010) · Drugs · doi:10.2165/11535230-000000000-00000 · Cited by 70 · see citing works
Nalos, L., Varkevisser, R., Jonsson, M., Houtman, M. J. C., Beekman, J. D. M., van der Nagel, R., Thomsen, M. B., Duker, G., Sartipy, P., de Boer, T. P., et al. (2011) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.2011.01558.x · Cited by 68 · see citing works
Self-citationOosterhoff, P., Tereshchenko, L. G., van der Heyden, M. A. G., Ghanem, R. N., Fetics, B. J., Berger, R. D., & Vos, M. A. (2011) · Heart Rhythm · doi:10.1016/j.hrthm.2011.04.033 · Cited by 65 · see citing works
Self-citationDiastolic Electromechanical Coupling
Sauer, A. J., Wilcox, J. E., Andrei, A., PASSMAN, R. S., Goldberger, J. J., & Shah, S. J. (2012) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.111.969717 · Cited by 64 · see citing works
Methadone-induced mortality in the treatment of chronic pain: role of QT prolongation.
Andrews, C. M., Krantz, M. J., Wedam, E. F., Marcuson, M., Capacchione, J. F., & Haigney, M. C. (2009) · PubMed · Cited by 64 · see citing works
Graff, C., Andersen, M. P., Xue, J. Q., Hardahl, T. B., Kanters, J. K., Toft, E. S., Christiansen, M., Jensen, H. K., & Struijk, J. J. (2009) · Drug Safety · doi:10.2165/00002018-200932070-00006 · Cited by 58 · see citing works
Jacobson, I., Carlsson, L. G., & Duker, G. (2010) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2010.04.010 · Cited by 57 · see citing works
Role of abnormal repolarization in the mechanism of cardiac arrhythmia
Osadchii, O. E. (2017) · Acta Physiologica · doi:10.1111/apha.12902 · Cited by 49 · see citing works
Dobson, C. P., Rovere, M. T. L., Pinna, G. D., Goldstein, R. E., Olsen, C. H., Bernardinangeli, M., Veniani, M., Midi, P., Tavazzi, L., & Haigney, M. C. (2011) · Heart Rhythm · doi:10.1016/j.hrthm.2011.03.055 · Cited by 46 · see citing works
Arrhythmogenic Remodeling in the Failing Heart
Husti, Z., Varró, A., & Baczkó, I. (2021) · Cells · doi:10.3390/cells10113203 · Cited by 45 · see citing works
Oros, A., Houtman, M. J. C., Ñeco, P., Gomez, A. M., Rajamani, S., Oosterhoff, P., Attevelt, N. J. M., Beekman, J. D. M., van der Heyden, M. A. G., Donck, L. V., et al. (2010) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.2010.00883.x · Cited by 41 · see citing works
Self-citationThe anaesthetised methoxamine-sensitised rabbit model of torsades de pointes
Carlsson, L. G. (2008) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2008.04.004 · Cited by 41 · see citing works
An update on risk factors for drug-induced arrhythmias
Vlachos, K., Georgopoulos, S., Efremidis, M., Sideris, A., & Letsas, K. (2016) · Expert Review of Clinical Pharmacology · doi:10.1586/17512433.2016.1100073 · Cited by 39 · see citing works
Carlsson, L. G., Andersson, B., Linhardt, G., & Löfberg, L. (2009) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0b013e3181ac62c9 · Cited by 39 · see citing works
Cools, F. J. S., Janssens, S., Vanlommel, A., Teisman, A. C. H., Towart, R., & Gallacher, D. J. (2011) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2011.04.001 · Cited by 38 · see citing works
HIV Infection Is Associated With Variability in Ventricular Repolarization
Heravi, A. S., Etzkorn, L., Urbanek, J. K., Crainiceanu, C. M., Punjabi, N. M., Ashikaga, H., Brown, T. T., Budoff, M. J., DʼSouza, G., Magnani, J. W., et al. (2019) · Circulation · doi:10.1161/circulationaha.119.043042 · Cited by 33 · see citing works
Valentin, J., Pollard, C. E., Lainée, P., & Hammond, T. G. (2010) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.2009.00530.x · Cited by 33 · see citing works
Tse, G., Gong, M., Meng, L., Wong, C. W., Bazoukis, G., Chan, M. T. V., Wong, M. C. S., Letsas, Κ. P., Baranchuk, A. M., Yan, G., et al. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.01226 · Cited by 31 · see citing works
Graff, C., Struijk, J. J., Matz, J., Kanters, J. K., Andersen, M. P., Nielsen, J., & Toft, E. (2010) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.2010.51 · Cited by 31 · see citing works
Prolonged QT Interval in Cirrhosis: Twisting Time?
Lee, W., Vandenberk, B., Raj, S. R., & Lee, S. S. (2022) · Gut and Liver · doi:10.5009/gnl210537 · Cited by 31 · see citing works
Ellermann, C., Wolfes, J., Eckardt, L., & Frommeyer, G. (2020) · EP Europace · doi:10.1093/europace/euaa288 · Cited by 30 · see citing works
Oosterhoff, P., Thomsen, M. B., MAAS, J. N., ATTEVELD, N. J. M., Beekman, J. D. M., van Rijen, H. V. M., van der Heyden, M. A. G., & Vos, M. A. (2010) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2010.01824.x · Cited by 28 · see citing works
Self-citationLengyel, C., Orosz, A., Hegyi, P. J., Komka, Z., Udvardy, A., Bosnyák, E., Trájer, E., Pavlik, G., Tóth, M., Wittmann, T., et al. (2011) · PLoS ONE · doi:10.1371/journal.pone.0018751 · Cited by 28 · see citing works
Couderc, J., Kääb, S., Hinterseer, M., McNitt, S. A., Xia, X., Fossa, A. A., Beckmann, B. M., Polonsky, S., & Zaręba, W. (2008) · The Journal of Clinical Pharmacology · doi:10.1177/0091270008325927 · Cited by 27 · see citing works
Self-citationAntoons, G., Johnson, D. M., Dries, E., Santiago, D. J., Özdemir, S., Lenaerts, I., Beekman, J. D. M., Houtman, M. J. C., Sipido, K. R., & Vos, M. A. (2015) · Journal of Molecular and Cellular Cardiology · doi:10.1016/j.yjmcc.2015.10.008 · Cited by 24 · see citing works
Self-citationJardin, C. G. M., Putney, D. R., & Michaud, S. (2013) · Annals of Pharmacotherapy · doi:10.1177/1060028013512614 · Cited by 23 · see citing works
Jonsson, M. K. B., van Veen, T. V., Goumans, M., Vos, M., Duker, G., & Sartipy, P. (2009) · Expert Opinion on Drug Discovery · doi:10.1517/17460440902794912 · Cited by 23 · see citing works
Self-citationBossu, A., Varkevisser, R., Beekman, H. D. M., Houtman, M. J. C., van der Heyden, M. A. G., & Vos, M. A. (2017) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0000000000000488 · Cited by 23 · see citing works
Self-citationAuthier, S., Pugsley, M. K., Troncy, É., & Curtis, M. J. (2010) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2010.06.005 · Cited by 23 · see citing works
Increased Short-Term Beat-To-Beat Variability of QT Interval in Patients with Acromegaly
Orosz, A., Csajbók, É., Czékus, C., Gavallér, H., Magony, S., Valkusz, Z., Várkonyi, T. T., Nemes, A., Baczkó, I., Forster, T., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0125639 · Cited by 23 · see citing works
Oskouie, S. K., Prenner, S. B., Shah, S. J., & Sauer, A. J. (2017) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2017.05.031 · Cited by 22 · see citing works
Sampedro-Puente, D. A., Fernández-Bes, J., Porter, B., van Duijvenboden, S., Taggart, P. I., & Pueyo, E. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00916 · Cited by 21 · see citing works
Orosz, A., Baczkó, I., Nyiraty, S., Körei, A. E., Putz, Z., Takács, R., Nemes, A., Várkonyi, T. T., Balogh, L., Ábrahám, G., et al. (2017) · Frontiers in Endocrinology · doi:10.3389/fendo.2017.00129 · Cited by 21 · see citing works
Smoczyńska, A., Loen, V., Sprenkeler, D. J., Tuinenburg, A. E., van Eck, H. J. R., Malík, M., Schmidt, G. P., Meine, M., & Vos, M. A. (2020) · Journal of the American Heart Association · doi:10.1161/jaha.120.018133 · Cited by 19 · see citing works
Self-citationPDE5 Inhibition Suppresses Ventricular Arrhythmias by Reducing SR Ca 2+ Content
Hutchings, D. C., Pearman, C. M., Madders, G. W. P., Woods, L. S., Eisner, D. A., Dibb, K. M., & Trafford, A. W. (2021) · Circulation Research · doi:10.1161/circresaha.121.318473 · Cited by 19 · see citing works
Takahara, A., Fujiwara, K., Ohtsuki, A., Oka, T., Namekata, I., & Tanaka, H. (2012) · Journal of Pharmacological Sciences · doi:10.1254/jphs.12117fp · Cited by 19 · see citing works
Handling of Ventricular Fibrillation in the Emergency Setting
Szabó, Z., Ujvárosy, D., Ötvös, T., Sebestyén, V., & Nánási, P. P. (2020) · Frontiers in Pharmacology · doi:10.3389/fphar.2019.01640 · Cited by 20 · see citing works
du Pré, B. C., Laake, L. W. V., Meine, M., van der Heijden, J. F., Doevendans, P. A., Vos, M. A., & van Veen, T. A. B. (2017) · Frontiers in Physiology · doi:10.3389/fphys.2017.00590 · Cited by 18 · see citing works
Self-citationInvestigating the effect of sotalol on the repolarization intervals in healthy young individuals
Couderc, J., Zhou, M., Sarapa, N., & Zaręba, W. (2008) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2008.06.013 · Cited by 18 · see citing works
Hasan, M. A., & Abbott, D. (2015) · Biomedizinische Technik/Biomedical Engineering · doi:10.1515/bmt-2015-0005 · Cited by 17 · see citing works
Nánási, P. P., Magyar, J., Varró, A., & Ördög, B. (2017) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2016-0597 · Cited by 17 · see citing works
Keeping the rhythm: hERG and beyond in cardiovascular safety pharmacology
Möller, C. (2010) · Expert Review of Clinical Pharmacology · doi:10.1586/ecp.10.24 · Cited by 16 · see citing works
Stams, T. R. G., Oosterhoff, P., Heijdel, A., Dunnink, A., Beekman, J. D. M., van der Nagel, R., van Rijen, H. V. M., van der Heyden, M. A. G., & Vos, M. A. (2016) · Circulation Journal · doi:10.1253/circj.cj-15-1335 · Cited by 16 · see citing works
Self-citationSzentmiklosi, A. J., Szentandrássy, N., Hegyi, B., Horváth, B., Magyar, J., Bányász, T., & Nánási, P. P. (2014) · Current Pharmaceutical Design · doi:10.2174/1381612820666141029111240 · Cited by 16 · see citing works
Assessment of ECG interval and restitution parameters in the canine model of short QT syndrome
Kijtawornrat, A., Panyasing, Y., del Rio, C. L., & Hamlin, R. L. (2010) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2010.02.001 · Cited by 15 · see citing works
Towards a better understanding of QT interval variability
Tereshchenko, L. G., & Berger, R. D. (2011) · Therapeutic Advances in Drug Safety · doi:10.1177/2042098611421209 · Cited by 15 · see citing works
Smoczyńska, A., Beekman, J. D. M., & Vos, M. A. (2019) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2019.16.2 · Cited by 15 · see citing works
Self-citationMagyar, J., Bányász, T., Szentandrássy, N., Kistamás, K., Nánási, P. P., & Satin, J. (2014) · Current Pharmaceutical Design · doi:10.2174/1381612820666141029102443 · Cited by 14 · see citing works
Johnson, D. M., de Jong, M. M. J., Crijns, H. J. G. M., Carlsson, L. G., & Volders, P. G. A. (2011) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.111.963025 · Cited by 14 · see citing works
Townsend, C. Y., & Brown, B. S. (2013) · Current Protocols in Pharmacology · doi:10.1002/0471141755.ph1016s61 · Cited by 13 · see citing works
Transgenic Rabbit Models in Proarrhythmia Research
Baczkó, I., Hornyik, T., Brunner, M. P., Koren, G., & Odening, K. E. (2020) · Frontiers in Pharmacology · doi:10.3389/fphar.2020.00853 · Cited by 13 · see citing works
Andersson, B., Abi‐Gerges, N., & Carlsson, L. G. (2010) · EP Europace · doi:10.1093/europace/euq070 · Cited by 13 · see citing works
Vahedi, F., Diamant, U., Lundahl, G., Bergqvist, G., Gransberg, L., Jensen, S. M., & Bergfeldt, L. (2013) · Heart Rhythm · doi:10.1016/j.hrthm.2013.05.001 · Cited by 11 · see citing works
Sprenkeler, D. J., Beekman, J. D. M., Bossu, A., Dunnink, A., & Vos, M. A. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01095 · Cited by 11 · see citing works
Self-citationGenotype-Specific ECG-Based Risk Stratification Approaches in Patients With Long-QT Syndrome
Rieder, M., Kreifels, P., Stuplich, J., Ziupa, D., Servatius, H., Nicolai, L., Castiglione, A., Zweier, C., Asatryan, B., & Odening, K. E. (2022) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2022.916036 · Cited by 11 · see citing works
Sprenkeler, D. J., Tuinenburg, A. E., van Eck, H. J. R., Malík, M., Zabel, M., & Vos, M. A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0183199 · Cited by 11 · see citing works
Self-citationModeling and Simulation of Preclinical Cardiac Safety: Towards an Integrative Framework
Soubret, A., Helmlinger, G., Dumotier, B. M., Bibas, R. J., & Георгиева, A. (2009) · Drug Metabolism and Pharmacokinetics · doi:10.2133/dmpk.24.76 · Cited by 10 · see citing works
Couderc, J. (2009) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2009.06.019 · Cited by 10 · see citing works
Polymorphic Ventricular Tachycardia—Part I: Structural Heart Disease and Acquired Causes
Choudhuri, I., Pinninti, M., Marwali, M. R., Sra, J. S., & Akhtar, M. (2013) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2013.07.001 · Cited by 10 · see citing works
Lundahl, G., Gransberg, L., Bergqvist, G., Bergström, G. M. L., & Bergfeldt, L. (2020) · PLoS ONE · doi:10.1371/journal.pone.0239074 · Cited by 10 · see citing works
Yamazaki, K., Hihara, T., Kato, H., Fukushima, T., Fukushima, K., Taniguchi, T., Yoshinaga, T., Miyamoto, N., Ito, M., & Sawada, K. (2014) · Pharmacology & Pharmacy · doi:10.4236/pp.2014.51017 · Cited by 8 · see citing works
DeltaT50—a new method to assess temporal ventricular repolarization variability
Abrahamsson, C., Dota, C., Skallefell, B., Carlsson, L. M. S., Halawani, D., Frison, L., Berggren, A., Edvardsson, N. G., & Duker, G. (2011) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2011.04.010 · Cited by 7 · see citing works
Limprasutr, V., Pirintr, P., Kijtawornrat, A., & Hamlin, R. L. (2017) · EXPERIMENTAL ANIMALS · doi:10.1538/expanim.17-0100 · Cited by 7 · see citing works
Sato, D., Hegyi, B., Ripplinger, C. M., & Bers, D. M. (2025) · The Journal of Physiology · doi:10.1113/jp289051 · Cited by 6 · see citing works
qInward variability-based in-silico proarrhythmic risk assessment of drugs using deep learning model
Jeong, D. U., Nurul Qashri Mahardika, T., Marcellinus, A., & Lim, K. M. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.1080190 · Cited by 6 · see citing works
Nishi, I., Sugiyama, A., Takahara, A., Kuroki, K., Igawa, M., Enomoto, T., Iida, K., Koseki, S., & Aonuma, K. (2011) · International Heart Journal · doi:10.1536/ihj.52.304 · Cited by 6 · see citing works
Implication of frequency-dependent protocols in antiarrhythmic and proarrhythmic drug testing
Nánási, P. P., Szabó, Z., Kistamás, K., Horváth, B., Virág, L., Jost, N., Bányász, T., Almássy, J., & Varró, A. (2019) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2019.11.001 · Cited by 6 · see citing works
Role of dynamical instability in QT interval variability and early afterdepolarization propensity
Sato, D., Hegyi, B., Ripplinger, C. M., & Bers, D. M. (2025) · Biophysical Journal · doi:10.1016/j.bpj.2025.07.017 · Cited by 5 · see citing works
Sauer, A. J., Kaplan, R. M., Xue, J. Q., Dorsey, P., Hayes, M., Shah, S. J., & PASSMAN, R. S. (2014) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2014.03.047 · Cited by 5 · see citing works
Inhibition of KCa2 and Kv11.1 Channels in Pigs With Left Ventricular Dysfunction
Citerni, C., Kirchhoff, J. E., Olsen, L. H., Sattler, S. M., Grunnet, M., Edvardsson, N. G., Bentzen, B. H., & Diness, J. G. (2020) · Frontiers in Pharmacology · doi:10.3389/fphar.2020.00556 · Cited by 5 · see citing works
Improved ECG pre-processing for beat-to-beat QT interval variability measurement
Hasan, M. A., Starc, V., Porta, A., Abbott, D., & Baumert, M. (2013) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2013.6610063 · Cited by 5 · see citing works
SPEARS, D. A., Suszko, A. M., Krahn, A. D., Selvaraj, R. J., Ivanov, J., & Chauhan, V. S. (2012) · Heart Rhythm · doi:10.1016/j.hrthm.2012.02.026 · Cited by 5 · see citing works
Kobayashi, K., Omuro, N., & Takahara, A. (2013) · Journal of Pharmacological Sciences · doi:10.1254/jphs.13159fp · Cited by 5 · see citing works
Oxytocin exerts harmful cardiac repolarization prolonging effects in drug-induced LQTS
Kreifels, P., Bódi, I., Hornyik, T., Franke, G., Perez‐Feliz, S., Lewetag, R. D., Moss, R., Castiglione, A., Ziupa, D., Zehender, M., et al. (2022) · IJC Heart & Vasculature · doi:10.1016/j.ijcha.2022.101001 · Cited by 4 · see citing works
Pharmacometrics in Cardiovascular Safety
PARKINSON, J. R., Chain, A. S. Y., van der Graaf, P. H., & Visser, S. A. G. (2014) · AAPS advances in the pharmaceutical sciences series · doi:10.1007/978-1-4939-1304-6_7 · Cited by 4 · see citing works
Sato, D., Santini, L., Coppini, R., & Grandi, E. (2026) · The Journal of Physiology · doi:10.1113/jp291001 · Cited by 3 · see citing works
Dynamical instability is a major cause of cardiac action potential variability
Sato, D., Hegyi, B., Ripplinger, C. M., & Bers, D. M. (2025) · Biophysical Journal · doi:10.1016/j.bpj.2025.02.007 · Cited by 3 · see citing works
Guduru, A., Lansdown, J., Chernichenko, D., Berger, R. D., & Tereshchenko, L. G. (2013) · Frontiers in Physiology · doi:10.3389/fphys.2013.00208 · Cited by 3 · see citing works
Do women have less repolarization reserve compared to men?
Sprenkeler, D. J., Rivaud, M. R., & Vos, M. A. (2016) · Heart Rhythm · doi:10.1016/j.hrthm.2016.10.009 · Cited by 3 · see citing works
Self-citationVeski, K., Karai, D., Pilt, K., Meigas, K., & Kaik, J. (2010) · Estonian Journal of Engineering · doi:10.3176/eng.2010.1.10 · Cited by 2 · see citing works
Marill, K. A., Lopez, S. N., Hark, D., Spahr, J., Muthal, K., Xue, J. Q., Rowlandson, G. I., & Liu, S. W. (2022) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.15735 · Cited by 2 · see citing works
The Year of 2008 in Electrocardiology
Stern, S. (2010) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.2009.00347.x · Cited by 1 · see citing works
Drug-induced Torsades de pointes: Insights from a canine model of chronic atrioventricular block
Thomsen, M. B. (2026) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2026.109013 · Cited by 1 · see citing works
Self-citationNon-Invasive Electrophysiological Markers Associated With Long QT Syndrome
Av, A., Snezhitskiy, V. А., & Kalatsei, L. V. (2022) · Cardiac Arrhythmias · doi:10.17816/cardar100224 · Cited by 1 · see citing works
Bialecki, R., Gallacher, D. J., & Valentin, J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95488-4.00070-x · Cited by 1 · see citing works
Repolarization variability — Friend or foe?
Bergfeldt, L. (2016) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2016.01.006 · Cited by 1 · see citing works
The thorough QT study: let's be precise.
Wedam, E. F., & Haigney, M. C. (2011) · PubMed · Cited by 1 · see citing works
Group psychotherapy with high grade imbeciles and low grade morons.
PALMA, N. D. (1956) · PubMed · doi:10.1016/b978-2-294-70606-6.00012-5
- Authors
- Hinterseer, M., Thomsen, M. B., Beckmann, B.-M., Pfeufer, A., Schimpf, R., Wichmann, H.-E., Steinbeck, G., Vos, M. A., & Kaab, S.
- Affiliations
- LMU Klinikum (DE)
- Helmholtz Munich (DE)
- University Medical Centre Mannheim (DE)
- Corresponding author
- Hinterseer, M.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-12-12
- Volume
- 29
- Issue
- 2
- Pages
- 185-190
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W2067418531
- Cited by
- 126
- References
- 29
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 8 · 2016: 5 · 2015: 8 · 2014: 8 · 2013: 12 · 2012: 10
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Site cant be reached (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- drug-induced long QT syndrome, torsades de pointes, drug-induced arrhythmia, QTc prolongation, Poincaré plot, short-term variability, QT-prolonging drugs, risk stratification
- MeSH terms
- Aged, Arrhythmias, Cardiac, Disease Susceptibility, Electrocardiography, Female, Heart Rate, Humans, Long QT Syndrome, Male, Middle Aged, Pilot Projects, Predictive Value of Tests, Case-Control Studies, Torsades de Pointes
About these checks
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