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Usefulness of fragmented QRS in hypertensive patients in the absence of left ventricular hypertrophy    
Yazarlar (6)
Mehmet Eyuboglu
Türkiye
Doç. Dr. Yavuz KARABAĞ Doç. Dr. Yavuz KARABAĞ
Kafkas Üniversitesi, Türkiye
Suleyman Karakoyun
Türkiye
Omer Senarslan
Türkiye
Zulkif Tanriverdi
Türkiye
Bahri Akdeniz
Türkiye
Devamını Göster
Özet
In the absence of left ventricular hypertrophy, importance of fragmented QRS complex (fQRS) in individuals with hypertension is unknown. The authors aimed to evaluate the relationship between blood pressure levels and fQRS in the absence of left ventricular hypertrophy. A total of 548 never-treated patients who underwent 24-hour ambulatory blood pressure monitoring were enrolled. The frequency of fQRS was significantly higher in patients with hypertension than normotension (36.4% vs 17.6%, P<.05). Multivariate logistic regression analysis revealed that systolic blood pressure is significantly associated with presence of fQRS on electrocardiography (odds ratio, 0.931; 95% CI, 0.910-0.9521 [P<.001]) even after adjusting for other confounding factors. Receiver operating characteristic analysis revealed a cutoff value of 147.65 mm Hg for systolic blood pressure to predict presence of fQRS (sensitivity: 51%, specificity: 99%, area under the curve=0.764; 95% CI, 0.717-0.811 [P<.001]). fQRS may be a sign of increased blood pressure and may predict higher fibrotic burden in patients with hypertension.
Anahtar Kelimeler
fibrosis | fragmented QRS | hypertension
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı The Journal of Clinical Hypertension
Dergi ISSN 1524-6175
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 09-2017
Cilt No 19
Sayı 9
Sayfalar 861 / 865
Doi Numarası 10.1111/jch.13051
Makale Linki http://doi.wiley.com/10.1111/jch.13051