QT is longer in drug-free patients with schizophrenia compared with age-matched healthy subjects

PLoS One. 2014 Jun 2;9(6):e98555. doi: 10.1371/journal.pone.0098555. eCollection 2014.

Abstract

The potassium voltage-gated channel KCNH2 is a well-known gene in which mutations induce familial QT interval prolongation. KCNH2 is suggested to be a risk gene for schizophrenia. Additionally, the disturbance of autonomic control, which affects the QT interval, is known in schizophrenia. Therefore, we speculate that schizophrenic patients have characteristic features in terms of the QT interval in addition to the effect of antipsychotic medication. The QT interval of patients with schizophrenia not receiving antipsychotics (n = 85) was compared with that of patients with schizophrenia receiving relatively large doses of antipsychotics (n = 85) and healthy volunteers (n = 85). The QT interval was corrected using four methods (Bazett, Fridericia, Framingham or Hodges method). In ANCOVA with age and heart rate as covariates, patients not receiving antipsychotic treatment had longer QT intervals than did the healthy volunteers, but antipsychotics prolonged the QT interval regardless of the correction method used (P<0.01). Schizophrenic patients with and without medication had a significantly higher mean heart rate than did the healthy volunteers, with no obvious sex-related differences in the QT interval. The QT interval prolongation may be manifestation of a certain biological feature of schizophrenia.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use*
  • Case-Control Studies
  • Electrocardiography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Schizophrenia / drug therapy
  • Schizophrenia / physiopathology*

Substances

  • Antipsychotic Agents

Grants and funding

This study was supported by a Grant-in-Aid for Scientific Research C from Japan Society for Promotion of Research (KAKENHI) (24591688) and SENSHIN Medical Research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.