Open Journal of Internal Medicine, 2016, 6, 43-55
Published Online June 2016 in SciRes. http://www.scirp.org/journal/ojim
http://dx.doi.org/10.4236/ojim.2016.62009
How to cite this paper: Jani, Y., Xhunga, S., Serani, A., Pocesta, B., Ferati, F., Lala, D., Zeqiri, A. and Rexhepi, A. (2016) Ven-
tricular Repolarization: Epidemiology and Clinical Correlates among Type-2 Diabetics with Uncontrolled Arterial Hyperten-
sion in Western Region of the Republic of Macedonia. Open Journal of Internal Medicine, 6, 43-55.
http://dx.doi.org/10.4236/ojim.2016.62009
Ventricular Repolarization: Epidemiology
and Clinical Correlates among Type-2
Diabetics with Uncontrolled Arterial
Hypertension in Western Region of the
Republic of Macedonia
Ylber Jani
1*
, Sotiraq Xhunga
2
, Artur Serani
2
, Bekim Pocesta
3
, Fatmir Ferati
4
, Dali Lala
5
,
Agim Zeqiri
6
, Atila Rexhepi
4
1
Private Health Institute, “Heart Diagnostica”, Debar, Republic of Macedonia
2
Department of Cardiology Medical Center, Dures, Republic of Albania
3
Department of Cardiology, Faculty of Medicine, “Ss Kiril and Metodij” University, Skopje, Republic of
Macedonia
4
Department of Internal Medicine, Faculty of Medicine, Tetovo, Republic of Macedonia
5
Private Health Institute of Family Medicine “Florenc”, Tetovo, Republic of Macedonia
6
Department of Internal Medicine, General Hospital “DR Ferit Murat”, Gostivar, Republic of Macedonia
Received 15 April 2016; accepted 18 June 2016; published 21 June 2016
Copyright © 2016 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/
Abstract
This study aimed to describe the epidemiology of repolarization dispersion (QT dispersion and
Tpeak-Tend dispersion) and further describe their associated clinical correlates among uncon-
trolled arterial hypertension in type-2 Diabetics patient, in western region of the Republic of Ma-
cedonia. Abnormal ventricular repolarization is associated with increased cardiovascular risk.
Data relating to the frequency of increased repolarization dispersion, among uncontrolled arterial
hypertension in type-2 Diabetics patient in western region of the Republic of Macedonia, are
scarce. A total of 600 patients were enrolled into this observation study. Study participans were
selected among primary care patient, who were receiving ongoing care for diabetes mellitus and
hypertension during 1 calendar year. Twelve lead resting electrocardiography, QT, QTc, Tpeak-
Tend-intervals and dispersions, were determined manually, and were compared between groups.
Patients with uncontrolled BP have greater frequency of: prolonged QTc.max.interval, (61.3%
vs.33.6%; p = 0.0005), prolonged Tpeak-Tend interval (65.3% vs. 34.7%; p = 0.005), increased
dispersion of QTc. interval (65.9% vs. 34.1%; p = 0.00), increased disperion of Tpeak-Tend
*
Corresponding author.