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10.1016/j.jelectrocard.2020.11.012

http://scihub22266oqcxt.onion/10.1016/j.jelectrocard.2020.11.012
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33307378!7698653!33307378
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suck abstract from ncbi


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pmid33307378      J+Electrocardiol 2021 ; 64 (ä): 30-35
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  • Effect of hydroxychloroquine, azithromycin and lopinavir/ritonavir on the QT corrected interval in patients with COVID-19 #MMPMID33307378
  • Echarte-Morales J; Minguito-Carazo C; Del Castillo-Garcia S; Borrego-Rodriguez J; Rodriguez-Santamarta M; Sanchez-Munoz E; Bergel-Garcia R; Gonzalez-Maniega C; Prieto-Gonzalez S; Menendez-Suarez P; Tundidor-Sanz E; Benito-Gonzalez T; Fernandez-Vazquez F
  • J Electrocardiol 2021[Jan]; 64 (ä): 30-35 PMID33307378show ga
  • BACKGROUND: Administration of Hydroxychloroquine and Azithromycin in patients with coronavirus disease 2019 (COVID-19) prolongs QTc corrected interval (QTc). The effect and safety of Lopinavir/Ritonavir in combination with these therapies have seldom been studied. OBJECTIVES: Our aim was to evaluate changes in QTc in patients receiving double (Hydroxychloroquine + Azithromycin) and triple therapy (Hydroxychloroquine + Azithromycin + Lopinavir/Ritonavir) to treat COVID-19. Secondary outcome was the incidence of in-hospital all-cause mortality. METHODS: Patients under treatment with double (DT) and triple therapy (TT) for COVID-19 were consecutively included in this prospective observational study. Serial in-hospital electrocardiograms were performed to measure QTc at baseline and during therapy. RESULTS: 168 patients (+/-66.2 years old) were included: 32.1% received DT and 67.9% received TT. The mean baseline QTc was 410.33 ms. Patients under DT and TT prolonged QTc interval respect baseline values (p < 0.001), without significant differences between both therapy groups (p = 0.748). Overall, 33 patients (19.6%) had a peak QTc and/or an increase QTc 60 ms from baseline, with a higher prevalence among those with hypokalemia (p = 0.003). All-cause mortality was similar between both strategy groups (p = 0.093) and high risk QTc prolongation was no related to clinical events in this series. CONCLUSIONS: DT and TT prolong the QTc in patients with COVID-19. Addition of Lopinavir/Ritonavir on top of Hydroxychloroquine and Azithromycin did not increase QTc compared to DT.
  • |Aged[MESH]
  • |Anti-Infective Agents/pharmacology/therapeutic use[MESH]
  • |Azithromycin/*pharmacology/therapeutic use[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*physiopathology[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Electrocardiography/*drug effects[MESH]
  • |Female[MESH]
  • |HIV Protease Inhibitors/pharmacology/therapeutic use[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/*pharmacology/therapeutic use[MESH]
  • |Kaplan-Meier Estimate[MESH]
  • |Lopinavir/*pharmacology/therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]


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