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Why we should be more careful using hydroxychloroquine in influenza season during COVID-19 pandemic?
Author(s) -
Hülya Gamze Çelik,
Şiran Keske,
Ülker Şener,
Müge Tekbaş,
Mahir Kapmaz,
Şükrü Taylan Şahin,
Aslı Özyildirim,
Saide Aytekin,
Vedat Aytekin,
Önder Ergönül
Publication year - 2020
Publication title -
international journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.278
H-Index - 89
eISSN - 1878-3511
pISSN - 1201-9712
DOI - 10.1016/j.ijid.2020.10.080
Subject(s) - hydroxychloroquine , medicine , qt interval , odds ratio , confidence interval , torsades de pointes , covid-19 , pandemic , coronavirus , oseltamivir , cardiology , disease , infectious disease (medical specialty)
The aim of this study was to describe the QTc prolongation and related adverse cardiac events during the administration of hydroxychloroquine (HCQ) and its combinations for the treatment of coronavirus disease 2019 (COVID-19). Hospitalized patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who received HCQ and had initial and follow-up electrocardiograms performed between March 10 and May 30, 2020 were included. Critical QTc prolongation was detected in 12% of the patients. On multivariate analysis, diabetes mellitus (odds ratio 5.8, 95% confidence interval 1.11-30.32, p = 0.037) and the use of oseltamivir (odds ratio 5.3, 95% confidence interval 1.02-28, p = 0.047) were found to be associated with critical QTc prolongation.

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