Evaluation of Electrocardiography Parameters in Renal Colic Patients Admitted to the Emergency Department

Aim
Urinary stone disease is a common cause of comorbidity in the population. It causes an increased sympathetic tone due to pain during renal colic attacks. It is thought that increased sympathetic tone may also trigger vasospasm in coronary arteries and make ischemic changes more pronounced.
However, there is no study in the literature that evaluating electrocardiogram parameters in patients with renal colic pain.
In this study, the electrocardiogram parameters such as QTc interval, QTc dispersion, Tp-e interval and Tp-e / QTc that are recorded when the patients are pain-free and during an episode of renal colic attack have been compared.
Materials and Methods
Patients who were clinically suspected of having renal colic and whose diagnosis was confirmed by abdominal computed tomography were included in this prospective observational study.
On electrocardiograms in the episode of renal colic attack and when they are painless; QTc interval, QTc dispersion, Tp-e interval and Tp-e / QTc parameters were compared.
Results
Mean age of the 101 patients included in this study was 44.19 ±14.13 and 48.5% of them were female.
Maximum QTc interval, and QTc dispersion parameters were significantly higher during renal colic attacks than pain-free periods. QTc interval was higher for females compared to males.
Conclusion
We found that renal colic pain is associated with increased QTc max and QTc dispersion. QTc interval was higher for females compared to males. These findings suggest that patients with renal colic pain may be under risk for ventricular arrhythmias especially in females.