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10.1111/anec.12846

http://scihub22266oqcxt.onion/10.1111/anec.12846
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33956361!8293593!33956361
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suck abstract from ncbi


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pmid33956361      Ann+Noninvasive+Electrocardiol 2021 ; 26 (4): e12846
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  • The impact of hydroxychloroquine-azithromycin combination on Tpeak-to-end and Tpeak-to-end/QT ratio during a short treatment course #MMPMID33956361
  • Bakhshaliyev N; Ozdemir R
  • Ann Noninvasive Electrocardiol 2021[Jul]; 26 (4): e12846 PMID33956361show ga
  • BACKGROUND: Since there was no proven treatment of coronavirus disease 2019 (COVID-19), hydroxychloroquine-azithromycin (HCQ-AZM) combination is being used in different countries as a treatment option. Many controversies exist related to the safety and effectiveness of this combination, and questions about how HCQ-AZM combination affects the ventricular repolarization are still unknown. OBJECTIVE: The aim of the study was to show whether the hydroxychloroquine-azithromycin (HCQ-AZM) combination prolonged Tpeak-to-end (TpTe) duration and TpTe/QT interval ratio or not. METHODS: One hundred and twenty-six consequent COVID-19(+) patients meeting the study criteria were enrolled in this study. Baseline ECGs were obtained immediately after hospitalization and before commencing the HCQ-AZM combination. On-treatment ECG was obtained 24-48 hr after the loading dose of HCQ/AZM. ECG parameters including PR interval, QRS duration, QT interval, QTc interval, TpTe duration, and TpTe/QT interval ratio were assessed. Demographic and laboratory findings were collected from an electronic recording system. RESULTS: ECGs of 126 COVID-19(+) patients who received HCQ-AZM combination were assessed. Mean baseline QTc (by Fridericia formula), TpTe, and TpTe/QT ratio were 420.0 +/- 26.5 ms, 82.43 +/- 9.77 ms, and 0.22 +/- 0.02, respectively. On-treatment QTc, TpTe and TpTe/QT ratio were 425.7 +/- 27.18 ms, 85.17 +/- 11.17 ms, and 0.22 +/- 0.03, respectively. No statistically significant acute impacts of HCQ-AZM combination on TpTe duration and TpTe/QT interval ratio were observed compared with baseline values. No ventricular tachycardia/fibrillation and the significant conduction delays were seen during in-hospital follow-up. CONCLUSION: HCQ-AZM combination increased TpTe duration. However, no significant impact on TpTe/QT interval ratio was observed.
  • |*COVID-19 Drug Treatment[MESH]
  • |Anti-Bacterial Agents/pharmacology[MESH]
  • |Azithromycin/*pharmacology[MESH]
  • |Drug Administration Schedule[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Electrocardiography/*drug effects[MESH]
  • |Enzyme Inhibitors/pharmacology[MESH]
  • |Female[MESH]
  • |Heart Ventricles/*drug effects[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/*pharmacology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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