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10.1007/s12012-020-09621-2

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suck abstract from ncbi


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pmid33387252      Cardiovasc+Toxicol 2021 ; 21 (4): 314-321
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  • QTc Prolongation in COVID-19 Patients Using Chloroquine #MMPMID33387252
  • Becker ML; Snijders D; van Gemeren CW; Kingma HJ; van Lelyveld SFL; Giezen TJ
  • Cardiovasc Toxicol 2021[Apr]; 21 (4): 314-321 PMID33387252show ga
  • Chloroquine is used in the treatment of patients with COVID-19 infection, although there is no substantial evidence for a beneficial effect. Chloroquine is known to prolong the QRS and QTc interval on the ECG. To assess the effect of chloroquine on QRS and QTc intervals in COVID-19 patients, we included all inpatients treated with chloroquine for COVID-19 in the Spaarne Gasthuis (Haarlem/Hoofddorp, the Netherlands) and had an ECG performed both in the 72 h before and during or at least 48 h after treatment. We analyzed the (change in) QRS and QTc interval using the one-sample t-test. Of the 106 patients treated with chloroquine, 70 met the inclusion criteria. The average change in QRS interval was 6.0 ms (95% CI 3.3-8.7) and the average change in QTc interval was 32.6 ms (95% CI 24.9-40.2) corrected with the Bazett's formula and 38.1 ms (95% CI 30.4-45.9) corrected with the Fridericia's formula. In 19 of the 70 patients (27%), the QTc interval was above 500 ms after start of chloroquine treatment or the change in QTc interval was more than 60 ms. A heart rate above 90 bpm, renal dysfunction, and a QTc interval below 450 ms were risk factors for QTc interval prolongation. Chloroquine prolongs the QTc interval in a substantial number of patients, potentially causing rhythm disturbances. Since there is no substantial evidence for a beneficial effect of chloroquine, these results discourage its use in COVID-19 patients.
  • |*COVID-19 Drug Treatment[MESH]
  • |Aged[MESH]
  • |COVID-19/*epidemiology/physiopathology[MESH]
  • |Chloroquine/*adverse effects[MESH]
  • |Cohort Studies[MESH]
  • |Electrocardiography/*drug effects/trends[MESH]
  • |Female[MESH]
  • |Heart Rate/drug effects/physiology[MESH]
  • |Humans[MESH]
  • |Long QT Syndrome/*chemically induced/*epidemiology/physiopathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Netherlands/epidemiology[MESH]


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