在接受精神药物治疗的患者中,QTc 间隔
Iqra Rasheed Shah1, Rouf Ahmad Mir1, Sukrita Sharma1
1Department of Psychiatry, Institute of Mental Health and Neurosciences (IMHANS) GMC Srinagar, Jammu and Kashmir, India.
Industrial psychiatry journal
|November 3, 2025
概括
精神病药物可以延长QTc间隔,但严重心脏事件的风险如心脏突然死亡是低的. 个人心脏监测建议在心理药物治疗的患者.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 精神病药物已经彻底改变了心理健康治疗.
- 有关延长QTc间隔和相关心脏风险存在担忧.
- 这些药物的心血管安全概况需要持续调查.
研究的目的:
- 评估心理药物的心脏安全性.
- 评估与精神药物使用相关的QTc间隔延长.
- 建立心理药物作为药物类别的整体安全性.
主要方法:
- 接受心理药物治疗的121名受试者被纳入.
- 所有参与者都进行了心电图 (ECG).
- 后续监测延长至四周.
主要成果:
- 虽然在四周后发现了显著的QTc变化,但QTc延长的发生率 (根据男性和女性的特定值定义) 是可以忽略不计的 (3个受试者).
- 对照组在QTc间隔上没有显著变化.
- 患者和对照组之间的QTc间隔差异在统计上显著,但在临床上可以忽略不计.
结论:
- 心理药物在治疗精神疾病方面通常是安全的.
- 虽然精神药物可以影响QTc间隔,但严重的心脏副作用很少见.
- 基于剂量和风险因素的个性化心脏监测可以减轻潜在的风险.
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