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Electrocardiogram (ECG) Q-T prolongation is a cardiac electrophysiological disorder associated with the occurrence of arrhythmias potentially fatal. Several psychotropic drugs are associated with an increased risk of QT prolongation, which is why in clinical practice a baseline ECG is performed before a psychotropic drug is prescribed. However, there are no validated protocols establishing when to repeat this examination or describing clinical events when this examination should be repeated in clinical follow-up.
The study aims to investigate the incidence of QTc prolongation events as a side effect of chronic psychotropic drug administration. For this purpose, ECGs will be recorded and confounding factors of patients at the beginning of psychotropic therapy and after 3, 6 and 12 months will be analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monotherapy | Patients taking only one drug acting on QT interval | ||
| Monotherapy to monotherapy | Patients who have switched from a drug acting on QT interval to another | ||
| Polytherapy | Patients taking more than one drug acting on QT interval |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in QT interval | Baseline, 1, 3, 6, 12, 18 months post- enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Cardiac events | Baseline, 1, 3, 6, 12, 18 months post- enrollment |
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Inclusion Criteria:
Exclusion Criteria:
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Children and adolescents referring to psychiatry services in one the participating hospitals starting a new prescription for a psychotropic drug acting on QT interval.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tiziana Pisano, MD | Contact | 3498705830 | +39 | tiziana.pisano@meyer.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neuropsichiatria Infantile, IRCCS - OC Associazione Oasi Maria SS. ONLUS | Not yet recruiting | Troina | Enna | 94018 | Italy |
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| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D011618 | Psychotic Disorders |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
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| AOU Meyer IRCCS | Recruiting | Florence | FI | 50139 | Italy |
|
| IRCCS Fondazione Stella Maris | Recruiting | Calambrone | Pisa | 56128 | Italy |
| Neuropsichiatria infantile, Policlinico S.Orsola-Malpighi | Active, not recruiting | Bologna | 40138 | Italy |
| Clinica di Neuropsichiatria dell'Infanzia e dell'adolescenza, Ospedale Pediatrico A. Cao ARNAS G. Brotzu | Not yet recruiting | Cagliari | 09121 | Italy |
| Neuropsichiatria Infantile, Azienda Ospedaliera-Universitaria "Gaetano Martino" | Not yet recruiting | Messina | 98124 | Italy |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |