Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication
Mad honey intoxication (MHI) is a food-induced clinical condition that usually presents with cardiovascular symptoms and can lead to life-threatening arrhythmias if not diagnosed and treated early. No data exist in the literature on the presence of interatrial block (IAB) after food intoxication. In...
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| Veröffentlicht in: | Cardiovascular toxicology 2021-09, Vol.21 (9), p.772-780 |
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| description | Mad honey intoxication (MHI) is a food-induced clinical condition that usually presents with cardiovascular symptoms and can lead to life-threatening arrhythmias if not diagnosed and treated early. No data exist in the literature on the presence of interatrial block (IAB) after food intoxication. In our study, we sought to investigate atrioventricular electrocardiography (ECG) parameters and determine the frequency of IAB in patients with MHI. In total, 76 patients diagnosed with MHI were included in our retrospective study. Twelve-lead ECGs were performed and participants were divided into two groups according to the presence of IAB in the reference ECG. The P maximum (P
max
), P minimum (P
min
), P dispersion (P
disp
), T peak to T end (Tp–Te) interval and QT dispersion (QT
disp
) values were compared between the two groups. IAB was detected in 28 (35.5%) of 76 MHI patients included in the final analysis. P
max
duration (122 ± 8;
p
|
| doi_str_mv | 10.1007/s12012-021-09668-9 |
| format | Article |
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max
), P minimum (P
min
), P dispersion (P
disp
), T peak to T end (Tp–Te) interval and QT dispersion (QT
disp
) values were compared between the two groups. IAB was detected in 28 (35.5%) of 76 MHI patients included in the final analysis. P
max
duration (122 ± 8;
p
< 0.001) and PD (69 ± 11;
p
< 0.001) were significantly higher in the IAB ( +) group. During regression analysis, P
max
[odds ratio (OR) 1.158, 95% confidence interval (CI) 1.036–1.294;
p
= 0.010] and Pd (OR 1.086, 95% CI 1.001–1.017;
p
= 0.046) were independently associated with IAB. P
max
and Pd area under the receiver operating characteristic curve values for IAB prediction were 0.926 (95% CI 0.841–1,000;
p
< 0.001) and 0.872 (95% CI 0.765–0.974;
p
< 0.001), respectively. ECG changes are common in patients presenting with MHI. These patients need to be followed up clinically in terms of progression to arrhythmic events that may occur in the future.</description><identifier>ISSN: 1530-7905</identifier><identifier>EISSN: 1559-0259</identifier><identifier>DOI: 10.1007/s12012-021-09668-9</identifier><identifier>PMID: 34125412</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Action Potentials ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Arrhythmia ; Biomedical and Life Sciences ; Biomedicine ; Cardiology ; Care and treatment ; Confidence intervals ; Dispersion ; EKG ; Electrocardiogram ; Electrocardiography ; Female ; Foodborne Diseases - diagnosis ; Foodborne Diseases - etiology ; Foodborne Diseases - physiopathology ; Health aspects ; Heart Rate ; Honey ; Honey - poisoning ; Humans ; Interatrial Block - diagnosis ; Interatrial Block - etiology ; Interatrial Block - physiopathology ; Intoxication ; Male ; Middle Aged ; Patients ; Pharmacology/Toxicology ; Predictive Value of Tests ; Regression analysis ; Retrospective Studies ; Statistical analysis ; Young Adult</subject><ispartof>Cardiovascular toxicology, 2021-09, Vol.21 (9), p.772-780</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-9d38def9a7f569baa7d79f3b178d25d5f644ec0e2a085908dcb79c9df68be0fe3</citedby><cites>FETCH-LOGICAL-c442t-9d38def9a7f569baa7d79f3b178d25d5f644ec0e2a085908dcb79c9df68be0fe3</cites><orcidid>0000-0003-3018-339X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12012-021-09668-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12012-021-09668-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34125412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altuğ, Ösken</creatorcontrib><creatorcontrib>Ercan, Aydın</creatorcontrib><creatorcontrib>Serhan, Özcan Kazım</creatorcontrib><creatorcontrib>Yaylacı Selçuk</creatorcontrib><title>Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication</title><title>Cardiovascular toxicology</title><addtitle>Cardiovasc Toxicol</addtitle><addtitle>Cardiovasc Toxicol</addtitle><description>Mad honey intoxication (MHI) is a food-induced clinical condition that usually presents with cardiovascular symptoms and can lead to life-threatening arrhythmias if not diagnosed and treated early. No data exist in the literature on the presence of interatrial block (IAB) after food intoxication. In our study, we sought to investigate atrioventricular electrocardiography (ECG) parameters and determine the frequency of IAB in patients with MHI. In total, 76 patients diagnosed with MHI were included in our retrospective study. Twelve-lead ECGs were performed and participants were divided into two groups according to the presence of IAB in the reference ECG. The P maximum (P
max
), P minimum (P
min
), P dispersion (P
disp
), T peak to T end (Tp–Te) interval and QT dispersion (QT
disp
) values were compared between the two groups. IAB was detected in 28 (35.5%) of 76 MHI patients included in the final analysis. P
max
duration (122 ± 8;
p
< 0.001) and PD (69 ± 11;
p
< 0.001) were significantly higher in the IAB ( +) group. During regression analysis, P
max
[odds ratio (OR) 1.158, 95% confidence interval (CI) 1.036–1.294;
p
= 0.010] and Pd (OR 1.086, 95% CI 1.001–1.017;
p
= 0.046) were independently associated with IAB. P
max
and Pd area under the receiver operating characteristic curve values for IAB prediction were 0.926 (95% CI 0.841–1,000;
p
< 0.001) and 0.872 (95% CI 0.765–0.974;
p
< 0.001), respectively. ECG changes are common in patients presenting with MHI. These patients need to be followed up clinically in terms of progression to arrhythmic events that may occur in the future.</description><subject>Action Potentials</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Arrhythmia</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cardiology</subject><subject>Care and treatment</subject><subject>Confidence intervals</subject><subject>Dispersion</subject><subject>EKG</subject><subject>Electrocardiogram</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Foodborne Diseases - diagnosis</subject><subject>Foodborne Diseases - etiology</subject><subject>Foodborne Diseases - physiopathology</subject><subject>Health aspects</subject><subject>Heart Rate</subject><subject>Honey</subject><subject>Honey - poisoning</subject><subject>Humans</subject><subject>Interatrial Block - diagnosis</subject><subject>Interatrial Block - etiology</subject><subject>Interatrial Block - physiopathology</subject><subject>Intoxication</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Pharmacology/Toxicology</subject><subject>Predictive Value of Tests</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Young Adult</subject><issn>1530-7905</issn><issn>1559-0259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUFvFSEQxzdGY2v1C3gwJF68bGXZZVmOtXm1TWrsQc9kFob3qPvgCaza9MvL9lUbjTGEQGZ-_2GYf1W9bOhxQ6l4mxpGG1ZT1tRU9v1Qy0fVYcO5LCEuHy_3ltZCUn5QPUvpmlLGWM-fVgdt1zBe9mF1u_oG0wzZBU-CJasJdY5BQzQurCPsNk6TK4iwxYwxEfCG5A2Sq4gJvcZFc-FLCnJ0MJF3U9BfiPNFkx36nMh3lzfkAxhyHjzeLHD44fTdg8-rJxamhC_uz6Pq89nq0-l5ffnx_cXpyWWtu47lWpp2MGglCMt7OQIII6Rtx0YMhnHDbd91qCkyoAOXdDB6FFJLY_thRGqxPare7OvuYvg6Y8pq65LGaQKPYU6qjIIKNsi-Lejrv9DrMEdfuisU7zopu1Y8UGuYUDlvQ46gl6LqRNC-HcTAF-r4H1RZBrdOl2lYV-J_CNheoGNIKaJVu-i2EG9UQ9XiuNo7rorj6s5xJYvo1X3H87hF81vyy-ICtHsglZRfY3z40n_K_gSPL7aT</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Altuğ, Ösken</creator><creator>Ercan, Aydın</creator><creator>Serhan, Özcan Kazım</creator><creator>Yaylacı Selçuk</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3018-339X</orcidid></search><sort><creationdate>20210901</creationdate><title>Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication</title><author>Altuğ, Ösken ; Ercan, Aydın ; Serhan, Özcan Kazım ; Yaylacı Selçuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-9d38def9a7f569baa7d79f3b178d25d5f644ec0e2a085908dcb79c9df68be0fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Action Potentials</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Arrhythmia</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cardiology</topic><topic>Care and treatment</topic><topic>Confidence intervals</topic><topic>Dispersion</topic><topic>EKG</topic><topic>Electrocardiogram</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Foodborne Diseases - diagnosis</topic><topic>Foodborne Diseases - etiology</topic><topic>Foodborne Diseases - physiopathology</topic><topic>Health aspects</topic><topic>Heart Rate</topic><topic>Honey</topic><topic>Honey - poisoning</topic><topic>Humans</topic><topic>Interatrial Block - diagnosis</topic><topic>Interatrial Block - etiology</topic><topic>Interatrial Block - physiopathology</topic><topic>Intoxication</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Pharmacology/Toxicology</topic><topic>Predictive Value of Tests</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Altuğ, Ösken</creatorcontrib><creatorcontrib>Ercan, Aydın</creatorcontrib><creatorcontrib>Serhan, Özcan Kazım</creatorcontrib><creatorcontrib>Yaylacı Selçuk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular toxicology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altuğ, Ösken</au><au>Ercan, Aydın</au><au>Serhan, Özcan Kazım</au><au>Yaylacı Selçuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication</atitle><jtitle>Cardiovascular toxicology</jtitle><stitle>Cardiovasc Toxicol</stitle><addtitle>Cardiovasc Toxicol</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>21</volume><issue>9</issue><spage>772</spage><epage>780</epage><pages>772-780</pages><issn>1530-7905</issn><eissn>1559-0259</eissn><abstract>Mad honey intoxication (MHI) is a food-induced clinical condition that usually presents with cardiovascular symptoms and can lead to life-threatening arrhythmias if not diagnosed and treated early. No data exist in the literature on the presence of interatrial block (IAB) after food intoxication. In our study, we sought to investigate atrioventricular electrocardiography (ECG) parameters and determine the frequency of IAB in patients with MHI. In total, 76 patients diagnosed with MHI were included in our retrospective study. Twelve-lead ECGs were performed and participants were divided into two groups according to the presence of IAB in the reference ECG. The P maximum (P
max
), P minimum (P
min
), P dispersion (P
disp
), T peak to T end (Tp–Te) interval and QT dispersion (QT
disp
) values were compared between the two groups. IAB was detected in 28 (35.5%) of 76 MHI patients included in the final analysis. P
max
duration (122 ± 8;
p
< 0.001) and PD (69 ± 11;
p
< 0.001) were significantly higher in the IAB ( +) group. During regression analysis, P
max
[odds ratio (OR) 1.158, 95% confidence interval (CI) 1.036–1.294;
p
= 0.010] and Pd (OR 1.086, 95% CI 1.001–1.017;
p
= 0.046) were independently associated with IAB. P
max
and Pd area under the receiver operating characteristic curve values for IAB prediction were 0.926 (95% CI 0.841–1,000;
p
< 0.001) and 0.872 (95% CI 0.765–0.974;
p
< 0.001), respectively. ECG changes are common in patients presenting with MHI. These patients need to be followed up clinically in terms of progression to arrhythmic events that may occur in the future.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34125412</pmid><doi>10.1007/s12012-021-09668-9</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3018-339X</orcidid></addata></record> |
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| subjects | Action Potentials Adolescent Adult Aged Aged, 80 and over Analysis Arrhythmia Biomedical and Life Sciences Biomedicine Cardiology Care and treatment Confidence intervals Dispersion EKG Electrocardiogram Electrocardiography Female Foodborne Diseases - diagnosis Foodborne Diseases - etiology Foodborne Diseases - physiopathology Health aspects Heart Rate Honey Honey - poisoning Humans Interatrial Block - diagnosis Interatrial Block - etiology Interatrial Block - physiopathology Intoxication Male Middle Aged Patients Pharmacology/Toxicology Predictive Value of Tests Regression analysis Retrospective Studies Statistical analysis Young Adult |
| title | Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication |
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