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. 2019 Apr 18;20:133. doi: 10.1186/s12882-019-1282-5

Table 2.

Baseline associations of serum and dialysate electrolytes with QTc interval in 330 incident dialysis patients

Variables Model 1 Model 2 Model 3
QTc difference (95% CI), ms P QTc difference (95% CI), ms P QTc difference (95% CI), ms P
Serum measurements
 Total calcium, per 1 mg/dl decrease + 3.23 (−4.44, 10.89) 0.41 + 4.46 (− 2.84, 11.75) 0.23 + 2.70 (− 4.67, 10.06) 0.47
 Corrected calcium, per 1 mg/dl decrease + 2.27 (−6.48, 11.03) 0.61 + 3.46 (− 4.89, 11.80) 0.42 + 1.56 (− 6.65, 9.77) 0.71
 Ionized calciuma, per 0.1 mmol/l decrease + 9.77 (2.97, 16.57) 0.01 + 10.32 (3.87, 16.78) 0.002 + 8.55 (2.13, 14.97) 0.01
 Potassium, per 1 mEq/l decrease + 11.08 (2.18, 19.98) 0.02 + 10.97 (2.50, 19.43) 0.01 + 9.89 (1.58, 18.20) 0.02
 Magnesiuma, per 0.1 mEq/l decrease + 0.34 (− 1.73, 2.40) 0.75 + 0.35 (− 1.61, 2.31) 0.73 − 0.21 (− 2.13, 1.72) 0.83
Dialysate measurements
 Calcium
  2.5 mEq/l reference reference reference
  < 2.5 mEq/l + 1.27 (− 8.70, 11.24) 0.80 − 0.90 (− 10.55, 8.74) 0.86 + 0.95 (− 8.52, 10.42) 0.84
 Potassium
  2 mEq/l reference reference reference
  > 2 mEq/l −2.73 (− 16.96, 11.49) 0.71 −3.53 (− 17.01, 9.94) 0.61 −3.98 (− 17.16, 9.21) 0.56
Serum-to-dialysate gradients
 Total calcium, per 1 mEq/l increase in difference −3.33 (− 15.22, 8.55) 0.58 −6.84 (− 18.30, 4.62) 0.24 − 3.04 (− 14.57, 8.49) 0.61
 Corrected calcium, per 1 mEq/l increase in difference − 1.81 (− 14.66, 11.03) 0.78 − 5.40 (− 17.82, 7.02) 0.40 − 1.44 (− 13.72, 10.83) 0.82

Model 1 includes the main exposure (one of serum, dialysate, or gradient measurements)

Model 2 includes model 1, age, sex, and ethnicity

Model 3 includes model 2, Charlson comorbidity index, non-dialysis systolic blood pressure, left ventricular mass index, and use of antihypertensive medication, renin-angiotensin-aldosterone system blockade, cinacalcet, and QT-prolonging medication

aModels with ionized calcium and magnesium also include serum pH