Normal Ventricular Repolarization and QT Interval: Ionic Background, Modifiers, and Measurements

Emanuela T. Locati, Giuseppe Bagliani, Luigi Padeletti

Research output: Contribution to journalReview article

Abstract

The QT interval on surface electrocardiogram represents the sum of depolarization and repolarization process of the ventricles. The ventricular recovery process, reflected by ST segment and T wave, mainly depends on the transmembrane outward transport of potassium ions to reestablish the endocellular electronegativity. Outward potassium channels represent a heterogeneous family of ionic carriers, whose global kinetics is modulated by heart rate and autonomic nervous activity. Several cardiac and noncardiac drugs and disease conditions, and several mutations of genes encoding ionic channels, generating distinct genetic channellopathies, may affect the ventricular repolarization, provoke QT interval prolongation and shortening, and increase the susceptibility to ventricular arrhythmias.

Original languageEnglish
Pages (from-to)487-513
Number of pages27
JournalCardiac Electrophysiology Clinics
Volume9
Issue number3
DOIs
Publication statusPublished - Sep 1 2017

Keywords

  • Electric memory
  • J point
  • QT interval
  • ST segment
  • T wave
  • T wave alternans
  • U wave
  • Ventricular repolarization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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