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The association between frontal QRS-T angle and reverse dipper status in newly diagnosed hypertensive patients    
Yazarlar
Dr. Öğr. Üyesi Muammer KARAKAYALI Dr. Öğr. Üyesi Muammer KARAKAYALI
Kafkas Üniversitesi, Türkiye
Dr. Öğr. Üyesi İnanç ARTAÇ Dr. Öğr. Üyesi İnanç ARTAÇ
Kafkas Üniversitesi, Türkiye
 Timor OMAR Timor OMAR
Kafkas Üniversitesi, Türkiye
 İbrahim RENCÜZOĞULLARI İbrahim RENCÜZOĞULLARI
Kafkas Üniversitesi, Türkiye
 Yavuz KARABAĞ Yavuz KARABAĞ
Kafkas Üniversitesi, Türkiye
Tufan Çınar
Türkiye
Mehmet Altunova
Türkiye
Şerif Hamideyin
Türkiye
Özet
The frontal QRS-T angle (fQRS-T angle) in ECG is a new measure of myocardial repolarization, in which a higher fQRS-T angle is linked with worse cardiac outcomes. Reverse dipper hypertension is also linked to poor cardiac outcomes. The purpose of this study was to investigate the association between the fQRS-T angle and reverse dipper status in individuals newly diagnosed with hypertension who did not have left ventricular hypertrophy (LVH). The investigation recruited 171 hypertensive individuals without LVH who underwent 24-h ambulatory blood pressure monitoring (ABPM). On the basis of the findings of 24-h ABPM, the study population was categorized into the following three groups: patients with dipper hypertension, non-dipper hypertension, and reverse dipper hypertension. LVH was defined by echocardiography. The fQRS-T angle was measured using the 12-lead ECG. The fQRS-T angle in individuals with reverse dipper hypertension was substantially greater than in patients with and without dipper hypertension (51° ± 28° vs. 28° ± 22° vs. 39° ± 25°, respectively, P < 0.001). The fQRS-T angle (odds ratio: 1.040, 95% confidence interval: 1.016-1.066; P = 0.001) was independently associated with reverse dipper hypertension according to multivariate analysis. In receiver operating characteristic curve analysis, the fQRS-T angle to predict reverse dipper hypertension was 33.5° with 76% sensitivity and 71% specificity. This study showed that an increased fQRS-T angle was associated with reverse dipper hypertension in newly diagnosed hypertensive patients without LVH.
Anahtar Kelimeler
ambulatory blood pressure monitoring | circadian blood pressure | frontal QRS-T angle | reverse dipper hypertension
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı BLOOD PRESSURE MONITORING
Dergi ISSN 1359-5237
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 04-2023
Cilt No 28
Sayı 2
Sayfalar 96 / 102
Doi Numarası 10.1097/MBP.0000000000000637
Makale Linki http://dx.doi.org/10.1097/mbp.0000000000000637