Large-Scale Analysis of Age and Sex Effects on Corrected QT and JT Intervals: Insights From Hospital-Based Controls and Moxifloxacin-Treated Cases

IF 2.8 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Eunwoo Kim, Hyun Young Lee, Young-Min Ye, Anhye Kim
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Abstract

The corrected QT (QTc) interval is a critical marker for assessing proarrhythmic potential in drug development, while the corrected JT (JTc) interval provides specific insight into ventricular repolarization. This study quantitatively analyzed the relationships of QTc and JTc intervals with age and sex utilizing a large real-world dataset of hospital-based controls and moxifloxacin-treated patients. This retrospective study analyzed 1,039,550 electrocardiograms and associated clinical data extracted from a previously constructed electrocardiogram database, categorizing cases as hospital-based controls (n = 119,882) or moxifloxacin-treated (n = 1586) based on predefined criteria. We observed a general trend of QTc and JTc interval prolongation with age in both groups, with moxifloxacin-treated cases showing longer QTc and JTc intervals than hospital-based controls. Multiple linear regression analysis indicated that in hospital-based controls, QTc and JTc intervals increased with age, with males exhibiting shorter intervals than females. Meanwhile, in moxifloxacin-treated cases, QTc and JTc intervals showed similar age-dependent increases, although no significant sex differences were observed in the QTc interval. Therefore, this study quantified the effects of age and sex on QTc and JTc intervals in hospital-based controls and highlighted similar age-related trends in moxifloxacin-treated cases, underscoring the relevance of age and sex as key factors in interpreting QTc and JTc intervals across diverse clinical contexts.

Abstract Image

年龄和性别对校正QT间期和JT间期影响的大规模分析:来自医院对照和莫西沙星治疗病例的见解
校正的QT间期(QTc)是评估药物开发过程中心律失常电位的关键指标,而校正的JT (JTc)间期提供了对心室复极的具体了解。本研究利用基于医院的对照和莫西沙星治疗的患者的大型真实数据集,定量分析了QTc和JTc间隔与年龄和性别的关系。这项回顾性研究分析了从先前构建的心电图数据库中提取的1,039,550例心电图和相关临床数据,并根据预定义的标准将病例分为医院对照(n = 119,882)或莫西沙星治疗(n = 1586)。我们观察到两组患者QTc和JTc间期随着年龄的增长而延长的总体趋势,莫西沙星治疗的患者QTc和JTc间期比以医院为基础的对照组更长。多元线性回归分析表明,在以医院为基础的对照组中,QTc和JTc间隔随着年龄的增长而增加,男性的间隔比女性短。同时,在莫西沙星治疗的病例中,QTc和JTc间隔显示出类似的年龄依赖性增加,尽管在QTc间隔中没有观察到显著的性别差异。因此,本研究量化了年龄和性别对医院对照中QTc和JTc间隔的影响,并强调了莫西沙星治疗病例中类似的年龄相关趋势,强调了年龄和性别的相关性是解释不同临床背景下QTc和JTc间隔的关键因素。
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来源期刊
Cts-Clinical and Translational Science
Cts-Clinical and Translational Science 医学-医学:研究与实验
CiteScore
6.70
自引率
2.60%
发文量
234
审稿时长
6-12 weeks
期刊介绍: Clinical and Translational Science (CTS), an official journal of the American Society for Clinical Pharmacology and Therapeutics, highlights original translational medicine research that helps bridge laboratory discoveries with the diagnosis and treatment of human disease. Translational medicine is a multi-faceted discipline with a focus on translational therapeutics. In a broad sense, translational medicine bridges across the discovery, development, regulation, and utilization spectrum. Research may appear as Full Articles, Brief Reports, Commentaries, Phase Forwards (clinical trials), Reviews, or Tutorials. CTS also includes invited didactic content that covers the connections between clinical pharmacology and translational medicine. Best-in-class methodologies and best practices are also welcomed as Tutorials. These additional features provide context for research articles and facilitate understanding for a wide array of individuals interested in clinical and translational science. CTS welcomes high quality, scientifically sound, original manuscripts focused on clinical pharmacology and translational science, including animal, in vitro, in silico, and clinical studies supporting the breadth of drug discovery, development, regulation and clinical use of both traditional drugs and innovative modalities.
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