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Assist. Ahmed Samy Ali Afifi :: Publications:

Title:
QT Interval Prolongation as a predictor of short term Mortality In Patients With liver Cirrhosis and Acute Gastrointestinal Bleeding
Authors: F.M.Khaliln, M.A.El Assal, A.M. Dabour, A.R. Mohamed, A.S. Afifi
Year: 2020
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper Ahmed Samy Ali Afifi_paper dr.Ahmed Sami Ali Afifi - Copy-1.pdf
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Abstract:

Gastrointestinal bleeding is frequent in cirrhotic patients. It results generally from the crack of gastroesophageal varices, yet different causes, either related or not to entryway hypertension, can be included. This examination intended to consider the prognostic part of delayed QT in patients with cirrhosis, and foresee mortality hazard inside about a month and a half of intense gastrointestinal seeping from any reason fusing the QT span. Our investigation included 100 patients with cirrhosis isolated into two gatherings: 20 cirrhotic patients without intense gastrointestinal draining utilized as control (bunch 1) and 80 cirrhotic patients with intense gastrointestinal dying (bunch 2).All patients were exposed to the accompanying at the hour of draining and after 6 week: full history taking, exhaustive clinical assessment, complete blood picture, liver and kidney work tests, estimation of QT span in a 12-lead ECG, MELD score consolidating serum sodium, Child-Turcotte-Pugh scores . Higher INR, MELD and QT stretch were altogether connected with draining event in LC cases in univariable investigation. Mix of the two markers QT stretch and MELD for forecast of mortality inside a half year in LC cases uncovered expanded the intensity of segregation (AUC expanded to 0.906). This blend was essentially higher than QT span alone for expectation of mortality inside a half year in LC cases. A delayed QT was pervasive among cirrhotic patients and this decidedly related with high mortality. The joined estimation of QT stretch and MELD-Na can distinguish expanding danger of dying related mortality, accordingly improving the dynamic for these patients.

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