Background:
Pseudoexfoliative Syndrome (PEX) and Sudden
Cardiac Death (SCD) increase with age. Tp-e (T peak-
end interval)and cTp-e (Corrected Tp-e) intervals are
recently accepted as predictors of SCD.
Objectives:
Our study aimed to investigate the Tp-e, cTp-e
intervals in both patients with PEX and non-PEX.
Materials and Methods:
The study group consisted of forty-two patients
who were admitted to the outpatient clinic of
ophthalmology between December-2018 and May-2019
and diagnosed as PEX in the ophthalmologic
examination. Forty-three patients with non-PEX,
systemic examinations, and routine blood tests were
normal, included in the study. The study and control
group were included in the treadmill exercise test
(TET) according to Bruce Protocol.
Results:
In the study group, there was a statistically
significant difference between the basal cTp-e interval
value and the third-minute recovery cTp-e interval
value, whereas in the control group there was no
statistically significant difference between the basal
cTp-e interval value and the third-minute recovery
cTp-e value ( in the study group, basal cTp-e = 85.09 ±
5.14 ms vs third-minute recovery cTp-e = 87.37 ± 3.81
ms, t = 3.07 and p < 0.01, in the control group, baseline
cTp-e = 63.65 ± 5.07 ms vs third-minute recovery cTp-e
= 63.59 +/- 2.77, t = 0.087 and p = 0.93). There were
moderate positive correlations between HRR-I (Heart
Rate Recovery Index)values and cTp-eR-I (Corrected
Tp-e Recovery Index) values in each recovery stage of
the effort test in both the study and control group.
Conclusion:
These findings suggest that the risk of ventricular
arrhythmias is higher in patients with PEX than in
patients with non-PEX and that autonomic function in
PEX patients is more impaired than non-PEX patients.
Keywords : Exfoliation Syndrome, Risk, Exercise Test, Sudden Cardiac Death.