Evaluation of Tp-e / QT Ratio as a Predictor of Hospital Course in Patients with Decompensated Heart Failure | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 09 August 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2025.395618.2201 | ||||
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| Authors | ||||
Ahmed Ragab Ramadan  1; Abdulaziz Hassan2; Abdelrahman Metwally3
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| 1MB.B.CH, Cardiovascular Department, Faculty of Medicine, Al-Azhar University, Cairo , Egypt | ||||
| 2Cardiovascular Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 3Cardiovascular Department, Faculty of Medicine, Al-Azhar University, Cairo , Egypt | ||||
| Abstract | ||||
| ABSTRACT Background: Heart failure (HF) is a clinical syndrome characterized by breathlessness, fatigue, ankle swelling, and signs such as peripheral edema, pulmonary crackles, and elevated jugular venous pressure. Aim of the Work: Assess the utility of the Tp-e/QT ratio as a prognostic marker for the clinical course of cases hospitalized with decompensated HF. Patients and Methods: This prospective observational research included 100 patients diagnosed with HF with diminished ejection fraction (EF), defined as a left ventricular EF below 40%. Results: Tp-e intervals, Tp-e/QTc and Tp-e/QT ratios were significantly elevated in cases who developed arrhythmias. These electrocardiographic parameters were also significantly elevated in cases whose hospital stay exceeded one week. Conclusions: Non-survivors exhibited elevated rates of valvular heart disease, diminished EF, elevated LDL titres, and elevated QTc, QT interval, Tp-e, and Tp-e/QT ratios. Careful monitoring of these parameters, particularly ECG markers (Tp-e/QT) and hemodynamic status, could be vital for effective risk stratification and optimizing treatment strategies in cases with HF. | ||||
| Keywords | ||||
| Tp-e / QT Ratio; Hospital Course; Decompensated Heart Failure | ||||
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