Serum albumin level and abnormal corrected QT interval in patients with coronary artery disease and chronic kidney disease

Cheng Ching Wu, Yung Chuan Lu, Teng Hung Yu, Chao Ping Wang, Wei Chin Hung, Wei Hua Tang, I. Ting Tsai, Fu Mei Chung, Yau Jiunn Lee, Jin-Jia Hu*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Lower concentrations of serum albumin appear to be associated with an increased risk of all-cause and cardiovascular mortality, coronary heart disease, heart failure and stroke. However, little is known about the relationship between serum albumin level and prolonged QT interval. Aim: To investigate whether lower serum albumin is associated with prolonged QT interval by recording 12-lead electrocardiography in patients with coronary artery disease and chronic kidney disease. Methods: This study included 1383 consecutive patients with coronary artery disease and chronic kidney disease (841 with acute coronary syndrome and 542 with elective percutaneous coronary intervention patients) who were enrolled in a disease management programme. Twelve-lead electrocardiography was recorded in each subject. We assessed the relationship between albumin levels (both as a continuous variable and stratified by tertile) at admission and corrected QT (QTc) prolongation. Results: Patients with abnormal QTc interval had lower serum albumin levels than those with normal and borderline QTc intervals. Statistically significant negative associations were observed between serum albumin levels and QTc interval (β = −0.211, P < 0.0001). Using multivariate and trend analyses, a lower concentration of serum albumin was independently associated with QTc prolongation in both the patients with acute coronary syndrome and elective percutaneous coronary intervention patients. Conclusion: Concentrations of serum albumin were significantly lower in the patients with an abnormal QTc interval and were associated with QTc prolongation. Further studies are needed to clarify whether lower serum albumin plays a role in the pathogenesis of QTc prolongation.

Original languageEnglish
Pages (from-to)1242-1251
Number of pages10
JournalInternal Medicine Journal
Volume48
Issue number10
DOIs
StatePublished - 1 Oct 2018

Keywords

  • albumin
  • chronic kidney disease
  • coronary artery disease
  • corrected QT interval
  • corrected QT prolongation

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