| Yazarlar |
Mehmet Altunova
Türkiye |
|
Hamdi Püşüroğlu
Türkiye |
Dr. Öğr. Üyesi Muammer KARAKAYALI
Kafkas Üniversitesi, Türkiye |
|
Ahmet Anıl Şahin
Türkiye |
|
Ali Rıza Demir
Türkiye |
|
Emre Yılmaz
Giresun Üniversitesi, Türkiye |
|
Ahmet Yaşar Çizgici
Türkiye |
|
Mehmet Ertürk
Sağlık Bilimleri Üniversitesi, Türkiye |
| Özet |
| Background: In patients with essential hypertension, fragmented QRS has been associated with many remodeling components that might lead to adverse cardiovascular effects. This study aimed to evaluate the relationship between fragmented QRS and adverse events and its potential long-term prognostic value. Methods: The patients with essential hypertension were divided into two groups according to the presence of fragmented QRS: fragmented QRS (+) and fragmented QRS (−). During long-term follow-up, the relationship of fragmented QRS to coronary artery disease, congestive heart failure, stroke, cardiovascular death, all-cause death, and major adverse cardiovascular and cerebrovascular events was evaluated. Results: The study group included 542 patients with essential hypertension. Fragmented QRS on ECG was observed in 224 (41.3%) patients. Considering the incidence rates at the end of 5.6 ± 1.3 years’ follow-up, the total incidence rate of major adverse cardiovascular and cerebrovascular events (P < .001), coronary artery disease (P < .001), and congestive heart failure (P < .001) were higher in patients with fragmented QRS. No significant difference was observed between the two groups in terms of stroke (P=.734), cardiovascular death (P=1), and all-cause death (P=.574). As a result of multiple cox regression analysis, fragmented QRS (P=.005) was identified as an independent predictor for major adverse cardiovascular and cerebrovascular events development. Conclusion: In patients with hypertension, the presence of fragmented QRS was found as an independent predictor for major adverse cardiovascular and cerebrovascular events development. |
| Anahtar Kelimeler |
| Essential hypertension,fragmented QRS,major adverse cardiovascular and cerebrovascular events,mortality |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | The Anatolian Journal of Cardiology |
| Dergi ISSN | 2149-2271 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q4 |
| Makale Dili | İngilizce |
| Basım Tarihi | 06-2022 |
| Cilt No | 26 |
| Sayı | 6 |
| Sayfalar | 442 / 449 |
| Doi Numarası | 10.5152/AnatolJCardiol.2022.1322 |
| Makale Linki | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361201/pdf/ajc-26-6-442.pdf |
| Atıf Sayıları | |
| WoS | 11 |
