Related Experiment Video
Updated: Feb 2, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Association of Prolonged QTc Dispersion with Diastolic Dysfunction of the Left Ventricle in Patients with Non ST
P Karmaker1, A K Choudhury, S Hashem
1Dr Pranob Karmaker, Junior Consultant, Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh.
Insights
Prolonged QTc dispersion is linked to left ventricular diastolic dysfunction in Non-ST Segment Elevation Myocardial Infarction patients with heart failure with preserved ejection fraction. This ECG finding aids in early detection and management.
Area of Science:
- Cardiology
- Electrophysiology
- Heart Failure Research
Background:
- Diastolic dysfunction often precedes systolic decline and clinical symptoms in acute coronary syndrome.
- Early diagnosis of diastolic dysfunction is crucial for managing heart failure with preserved ejection fraction (HFpEF).
Purpose of the Study:
- To investigate the association between prolonged QTc dispersion and left ventricular diastolic dysfunction (LVDD) in Non-ST Segment Elevation Myocardial Infarction (NSTEMI) patients with HFpEF.
Main Methods:
- A cross-sectional analytical study involving 60 NSTEMI patients, divided into two groups based on QTc dispersion (prolonged vs. normal).
- Assessment of left ventricular diastolic dysfunction grades using echocardiography.
- Statistical analysis to determine the association between QTc dispersion and LVDD severity.
Main Results:
- A statistically significant association was found between prolonged QTc dispersion and Grade II (30.0% vs. 13.4%, p=0.001) and Grade III (40.0% vs. 10.0%, p=0.001) left ventricular diastolic dysfunction.
- QTc dispersion significantly increased across the three grades of LVDD (p=0.007).
- No significant association was observed for Grade I LVDD (p=0.16).
Conclusions:
- Prolonged QTc dispersion is significantly associated with moderate to severe left ventricular diastolic dysfunction in NSTEMI patients with HFpEF.
- Surface ECG-derived QTc dispersion is a valuable, non-invasive tool for predicting LVDD in this patient population.
Abstract:
Diastolic function usually declines before systolic function, and this precedes clinical signs in patients with acute coronary syndrome. Therefore, diagnosis of diastolic dysfunction is very important for early diagnosis, follow-up, treatment, and prognostic evaluation in heart failure with preserved ejection fraction (HFpEF) patients. The main objective of the study was to find out association between prolonged QTc dispersion and left ventricular diastolic dysfunction in Non ST Segment Elevation Myocardial Infarction (NSTEMI) patients in HFpEF. This cross sectional analytical study was conducted in the Department of Cardiology and 60 patients were included as study population from August 2015 to July 2016. Then the study population was divided into two groups, each group consisted of 30 patients. NSTEMI patients with prolonged QTc dispersion treated as Group I and NSTEMI patients with normal QTc dispersion treated as Group II. The study shows 20.0% vs. 26.6% patients had detected as Grade I in Group I and Group II respectively with statistically insignificant association (p=0.16). On the contrary, 30.0% vs. 13.4% patients had detected as Grade II in Group I and Group II respectively with statistically significant association (p=0.001). Again, 40.0% vs. 10.0% patients had detected as Grade III in Group I and Group II respectively with statistically significant association (p=0.001). QTc dispersion was found sequentially significant increased (p=0.007) among 3 grades of LVDD (63.6±4.9 vs. 79.4±8.6 vs. 98.2±28.8). QTc dispersion in surface ECG which is a cheap, non-invasive, easily available tool can help us predicting left ventricular diastolic dysfunction in patients with NSTEMI.
More Related Videos
Related Concept Videos
Freezing Point Depression and Boiling Point Elevation
The boiling point of a liquid is the temperature at which its vapor pressure is equal to ambient atmospheric pressure. Since the vapor pressure of a solution is lowered due to the presence of nonvolatile solutes, it stands to reason that the solution’s boiling point will subsequently be increased. Vapor pressure increases with temperature, and so a solution will require a higher temperature than will pure solvent to achieve any given vapor pressure, including one...
Distribution and Dispersion
Anatomy of the Brain: Ventricles
Elevation of Intermediate Points on Vertical Curves
Association Areas of the Cortex
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...
Associative Learning
Classical conditioning, also known...

