Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.
Лекарственно-индуцированное удлинение интервала QT: распространенность, факторы риска, лечение и профилактика
________________________________________________
Ostroumova O.D., Goloborodova I.V. Drug-induced long QT interval: prevalence, risk factors, treatment and prevention. Consilium Medicum. 2019; 21 (5): 62–67. DOI: 10.26442/20751753.2019.5.190415
Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.
Ключевые слова: удлинение интервала QT, лекарственно-индуцированное удлинение интервала QT, тахикардия типа пируэт, факторы риска, электрокардиография, фармакотерапия, нежелательные побочные реакции, безопасность лекарственных средств.
________________________________________________
Key words: long QT interval, drug-induced long QT interval, torsade de pointes, risk factors, еlectrocardiography, drug therapy, adverse drug reactions, drug safety.
[Serdechno-sosudistye zabolevaniia. www.who.int; https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (in Russian).]
2. Агеева Л.И., Александрова Г.А., Зайченко Н.М. и др. Здравоохранение в России. 2017. М.: Стат. сб./Росстат, 2017.
[Ageeva L.I., Aleksandrova G.A., Zaichenko N.M. et al. Zdravookhranenie v Rossii. 2017. Moscow: Stat. sb./Rosstat, 2017 (in Russian).]
3. Якушин С.С., Бойцов С.А., Фурменко Г.И. и др. Внезапная сердечная смерть у больных ишемической болезнью сердца по результатам Российского многоцентрового эпидемиологического исследования Заболеваемости, смертности, качества диагностики и лечения острых форм ИБС (РЕЗОНАНС). Рос. кардиол. журн. 2011; 2: 59–64.
[Iakushin S.S., Boitsov S.A., Furmenko G.I. et al. Vnezapnaia serdechnaia smert' u bol'nykh ishemicheskoi bolezn'iu serdtsa po rezul'tatam Rossiiskogo mnogotsentrovogo epidemiologicheskogo issledovaniia Zabolevaemosti, smertnosti, kachestva diagnostiki i lecheniia ostrykh form IBS (REZONANS). Ros. kardiol. zhurn. 2011; 2: 59–64 (in Russian).]
4. Солохин Ю.А., Макаров Л.М., Комолятова В.Н. Внезапная внегоспитальная сердечная смерть в молодом возрасте (анализ за 5 лет по данным 2-го танатологического отделения бюро Судебно-медицинской экспертизы Департамента здравоохранения г. Москвы). Мед. экспертиза и право. 2013; 4: 16–23.
[Solokhin Iu.A., Makarov L.M., Komoliatova V.N. Vnezapnaia vnegospital'naia serdechnaia smert' v molodom vozraste (analiz za 5 let po dannym 2-go tanatologicheskogo otdeleniia biuro Sudebno-meditsinskoi ekspertizy Departamenta zdravookhraneniia g. Moskvy). Med. ekspertiza i pravo. 2013; 4: 16–23 (in Russian).]
5. Внезапная сердечная смерть. Рекомендации Европейского кардиологического общества. М.: Медпрактика-М, 2003.
[Vnezapnaia serdechnaia smert'. Rekomendatsii Evropeiskogo kardiologicheskogo obshchestva. Moscow: Medpraktika-M, 2003 (in Russian).]
6. Myerburg RJ, Kessler KM. Castellanos A. Sudden cardiac death. Structure, function, and timedependence of risk. Circulation 1992; 85: 12–20.
7. Bayes de Luna A, Coumel P, Leclercq JF. Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 1989; 117: 151–9.
8. Leclercq JF, Coumel P, Maison-Blanche P et al. Mechanisms determining sudden death. A cooperative study of 69 cases recorded using the Holter method. Arch Mal Coeur Vaiss 1986; 79 (7): 1024–33.
9. Шляхто Е.В., Арутюнов Г.П., Беленков Ю.Н., Бойцов С.А. Национальные рекомендации по определению риска и профилактике внезапной сердечной смерти (2-е изд.). М.: Медпрактика-М, 2018.
[Shliakhto E.V., Arutiunov G.P., Belenkov Iu.N., Boitsov S.A. Natsional'nye rekomendatsii po opredeleniiu riska i profilaktike vnezapnoi serdechnoi smerti (2-e izd.). Moscow: Medpraktika-M, 2018 (in Russian).]
10. Burton F, Cobbe SM. Dispersion of ventricular repolarization and refractoriness. Cardiovas Res 2001; 50: 10–23.
11. Dekker JM, Schouten EG, Klootwijk P et al. Association between QT interval and coronary heart disease in middle-aged and elderly men. The Zutphen Study. Circulation 1994; 90: 779–85.
12. Цибулькин Н.А. Синдром удлиненного интервала QT – основные клинико-патофизиологические аспекты. Практ. медицина. 2012; 5 (60): 98–103.
[Tsibul'kin N.A. Sindrom udlinennogo intervala QT – osnovnye kliniko-patofiziologicheskie aspekty. Prakt. meditsina. 2012; 5 (60): 98–103 (in Russian).]
13. Haddad PM, Anderson IM. Antipsychotic-Related QTc Prolongation, Torsade de Pointes and Sudden Death. Drugs 2002; 62 (11): 1649–71.
14. Остроумова О.Д. Удлинение интервала QT. РМЖ. 2001; 18: 750–4.
[Ostroumova O.D. Udlinenie intervala QT. RMZh. 2001; 18: 750–4 (in Russian).]
15. Salle P, Rey JL, Bernasconi P et al. Torsades de pointe. Aapropos of 60 cases. Ann Cardiol Angerol 1985; 34: 341–8.
16. Clinical overview of Long QT Syndrome and Torsades de Pointes. www.crediblemeds.org. https://crediblemeds.org/healthcare-providers/practical-approach/
17. Molokhia M, Pathak A, Lapeyre-Mestre M et al. Case ascertainment and estimated incidence of drug-induced long-QT syndrome: study in Southwest France. Br J Clin Pharmacol 2008; 66: 386–95.
18. Darpo B. Spectrum of drugs prolonging QT interval and the incidence of torsade de pointes. Eur Heart J 2001; 3: 70–80.
19. Sarganas G, Garbe Е, Klimpel А et al. Haverkamp, Epidemiology of symptomatic drug-induced long QT syndrome and torsade de pointes in Germany. Europace 2014; 16: 101–8. DOI: 10.1093/ europace/ eut214
20. Yap YG, Camm AJ. Drug induced QT prolongation and torsades de pointes. Heart 2003; 89 (11): 1363–72. DOI: 10.1136/heart.89.11.1363.
21. US FDA. Drags@FDA. http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm
22. Wysowski DK, Bacsanyi J. Cisapride and fatal arrhythmia. N Engl J Med 1996; 335: 290–301.
23. Lehmann MH, Timothy KW, Frankovich D et al. Age-gender influence on the rate-corrected QT interval and the QT-heart rate relation in families with genotypically characterized long QT syndrome. J Am Coll Cardiol 1997; 29 (1): 93–9.
24. Jackobson G, Carmel NN, Lotan D et al. Reckless administration of QT interval-prolonging agents in elderly patients with drug-induced torsade de pointes. Z Gerontol Geriatr 2016; 51 (1): 41–7.
25. Priori SG, Schwartz PJ, Napolitano C et al. Risk stratification in the long-QT syndrome. N Engl J Med 2003; 348 (19): 1866–74.
26. Zeltser D, Justo D, Halkin A et al. Torsade de pointes due to noncardiac drugs: most patients have easily identifiable risk factors. Medicine (Baltimore) 2003; 82: 282–90.
27. Soyka LF, Wirtz C, Spangenberg RB. Clinical safety profile of sotalol in patients with arrhythmias. Am J Cardiol 1990; 65: 74A–81A.
28. Hohnloser SH, van de Loo A, Baedeker F. Efficacy and proarrhythmic hazards of pharmacologic cardioversion of atrial fibrillation: prospective comparison of sotalol versus quinidine. J Am Coll Cardiol 1995; 26: 852–8.
29. Torp-Pedersen C, Mоller M, Bloch-Thomsen PE et al. Dofetilide in patients with congestive heart failure and left ventricular dysfunction. Danish Investigations of Arrhythmia and Mortality on Dofetilide Study Group. N Engl J Med 1999; 341: 857–65.
30. Hollister LE, Kosek JC. Sudden death during treatment with phenothiazine derivatives. JAMA 1965; 192: 1035–8.
31. Woosley RL, Heise CW, Gallo T et al. CredibleMeds. https://crediblemeds.org/
32. Camm AJ, Malik M, Yap YG. Acquired long QT syndrome. Oxford: Blackwell, 2004.
33. FDA. Tikosyn (dofetilide), NDA 20-931. Risk evaluation and mitigation strategy document, 2013; NDA 20-931/S-007.
34. Tisdale JE. Drug-induced QT interval prolongation and torsades de pointes. Canadian Pharmacists Journal/Revue Des Pharmaciens Du Canada 2016; 149 (3): 139–52. DOI: 10.1177/1715163516641136
________________________________________________
1.Serdechno-sosudistye zabolevaniia. www.who.int; https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (in Russian).
2. Ageeva L.I., Aleksandrova G.A., Zaichenko N.M. et al. Zdravookhranenie v Rossii. 2017. Moscow: Stat. sb./Rosstat, 2017 (in Russian).
3. Iakushin S.S., Boitsov S.A., Furmenko G.I. et al. Vnezapnaia serdechnaia smert' u bol'nykh ishemicheskoi bolezn'iu serdtsa po rezul'tatam Rossiiskogo mnogotsentrovogo epidemiologicheskogo issledovaniia Zabolevaemosti, smertnosti, kachestva diagnostiki i lecheniia ostrykh form IBS (REZONANS). Ros. kardiol. zhurn. 2011; 2: 59–64 (in Russian).
4. Solokhin Iu.A., Makarov L.M., Komoliatova V.N. Vnezapnaia vnegospital'naia serdechnaia smert' v molodom vozraste (analiz za 5 let po dannym 2-go tanatologicheskogo otdeleniia biuro Sudebno-meditsinskoi ekspertizy Departamenta zdravookhraneniia g. Moskvy). Med. ekspertiza i pravo. 2013; 4: 16–23 (in Russian).
5. Vnezapnaia serdechnaia smert'. Rekomendatsii Evropeiskogo kardiologicheskogo obshchestva. Moscow: Medpraktika-M, 2003 (in Russian).
6. Myerburg RJ, Kessler KM. Castellanos A. Sudden cardiac death. Structure, function, and timedependence of risk. Circulation 1992; 85: 12–20.
7. Bayes de Luna A, Coumel P, Leclercq JF. Ambulatory sudden cardiac death: mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 1989; 117: 151–9.
8. Leclercq JF, Coumel P, Maison-Blanche P et al. Mechanisms determining sudden death. A cooperative study of 69 cases recorded using the Holter method. Arch Mal Coeur Vaiss 1986; 79 (7): 1024–33.
9. Shliakhto E.V., Arutiunov G.P., Belenkov Iu.N., Boitsov S.A. Natsional'nye rekomendatsii po opredeleniiu riska i profilaktike vnezapnoi serdechnoi smerti (2-e izd.). Moscow: Medpraktika-M, 2018 (in Russian).
10. Burton F, Cobbe SM. Dispersion of ventricular repolarization and refractoriness. Cardiovas Res 2001; 50: 10–23.
11. Dekker JM, Schouten EG, Klootwijk P et al. Association between QT interval and coronary heart disease in middle-aged and elderly men. The Zutphen Study. Circulation 1994; 90: 779–85.
12. Tsibul'kin N.A. Sindrom udlinennogo intervala QT – osnovnye kliniko-patofiziologicheskie aspekty. Prakt. meditsina. 2012; 5 (60): 98–103 (in Russian).
13. Haddad PM, Anderson IM. Antipsychotic-Related QTc Prolongation, Torsade de Pointes and Sudden Death. Drugs 2002; 62 (11): 1649–71.
14. Ostroumova O.D. Udlinenie intervala QT. RMZh. 2001; 18: 750–4 (in Russian).
15. Salle P, Rey JL, Bernasconi P et al. Torsades de pointe. Aapropos of 60 cases. Ann Cardiol Angerol 1985; 34: 341–8.
16. Clinical overview of Long QT Syndrome and Torsades de Pointes. www.crediblemeds.org. https://crediblemeds.org/healthcare-providers/practical-approach/
17. Molokhia M, Pathak A, Lapeyre-Mestre M et al. Case ascertainment and estimated incidence of drug-induced long-QT syndrome: study in Southwest France. Br J Clin Pharmacol 2008; 66: 386–95.
18. Darpo B. Spectrum of drugs prolonging QT interval and the incidence of torsade de pointes. Eur Heart J 2001; 3: 70–80.
19. Sarganas G, Garbe Е, Klimpel А et al. Haverkamp, Epidemiology of symptomatic drug-induced long QT syndrome and torsade de pointes in Germany. Europace 2014; 16: 101–8. DOI: 10.1093/ europace/ eut214
20. Yap YG, Camm AJ. Drug induced QT prolongation and torsades de pointes. Heart 2003; 89 (11): 1363–72. DOI: 10.1136/heart.89.11.1363.
21. US FDA. Drags@FDA. http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm
22. Wysowski DK, Bacsanyi J. Cisapride and fatal arrhythmia. N Engl J Med 1996; 335: 290–301.
23. Lehmann MH, Timothy KW, Frankovich D et al. Age-gender influence on the rate-corrected QT interval and the QT-heart rate relation in families with genotypically characterized long QT syndrome. J Am Coll Cardiol 1997; 29 (1): 93–9.
24. Jackobson G, Carmel NN, Lotan D et al. Reckless administration of QT interval-prolonging agents in elderly patients with drug-induced torsade de pointes. Z Gerontol Geriatr 2016; 51 (1): 41–7.
25. Priori SG, Schwartz PJ, Napolitano C et al. Risk stratification in the long-QT syndrome. N Engl J Med 2003; 348 (19): 1866–74.
26. Zeltser D, Justo D, Halkin A et al. Torsade de pointes due to noncardiac drugs: most patients have easily identifiable risk factors. Medicine (Baltimore) 2003; 82: 282–90.
27. Soyka LF, Wirtz C, Spangenberg RB. Clinical safety profile of sotalol in patients with arrhythmias. Am J Cardiol 1990; 65: 74A–81A.
28. Hohnloser SH, van de Loo A, Baedeker F. Efficacy and proarrhythmic hazards of pharmacologic cardioversion of atrial fibrillation: prospective comparison of sotalol versus quinidine. J Am Coll Cardiol 1995; 26: 852–8.
29. Torp-Pedersen C, Mоller M, Bloch-Thomsen PE et al. Dofetilide in patients with congestive heart failure and left ventricular dysfunction. Danish Investigations of Arrhythmia and Mortality on Dofetilide Study Group. N Engl J Med 1999; 341: 857–65.
30. Hollister LE, Kosek JC. Sudden death during treatment with phenothiazine derivatives. JAMA 1965; 192: 1035–8.
31. Woosley RL, Heise CW, Gallo T et al. CredibleMeds. https://crediblemeds.org/
32. Camm AJ, Malik M, Yap YG. Acquired long QT syndrome. Oxford: Blackwell, 2004.
33. FDA. Tikosyn (dofetilide), NDA 20-931. Risk evaluation and mitigation strategy document, 2013; NDA 20-931/S-007.
34. Tisdale JE. Drug-induced QT interval prolongation and torsades de pointes. Canadian Pharmacists Journal/Revue Des Pharmaciens Du Canada 2016; 149 (3): 139–52. DOI: 10.1177/1715163516641136
1 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России, Москва, Россия;
*ostroumova.olga@mail.ru
________________________________________________
1 A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia;
*ostroumova.olga@mail.ru