Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2330
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dc.contributor.authorBayramoglu, Adil-
dc.contributor.authorBektas, Osman-
dc.contributor.authorKaya, Ahmet-
dc.contributor.authorKaya, Yasemin-
dc.contributor.authorOzbilen, Muhammet-
dc.contributor.authorTasolar, Hakari-
dc.contributor.authorYaman, Mehmet-
dc.date.accessioned2022-08-17T05:34:17Z-
dc.date.available2022-08-17T05:34:17Z-
dc.date.issued2017-
dc.identifier.urihttp://doi.org/10.1016/j.jelectrocard.2017.06.020-
dc.identifier.urihttp://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2330-
dc.description.abstractBackground: Metabolic syndrome (MetS) is an endocrinological disease with both metabolic and physiological components. Previous studies have shown a relationship between MetS and left ventricular (LV) dysfunction. A fragmented QRS (PQRS) is a reliable electrocardiogram (ECG) finding with the importance of an indicator of myocardial fibrosis and scarring. In this study, we examined the utility of speckle tracking echocardiography (STE) in assessing LV function in MetS patients with fQRS. Methods: The 164 consecutive MetS patients included in the study. They were separated into two groups; those with (n = 33) and those without (n = 131) fQRS. The two groups were compared by obtaining LV strain values with STE. Results: Statistically significant differences between the fQRS (-) and fQRS (+) groups were identified for LV global longitudinal strain (LV-GLS) (p < 0.001), maximum left atrial volume index (maxLAVI) (p <= 0.001), strain rate during isovolumic relaxation period (SRivr) (p < 0.001), and the E/SRivr ratio (p < 0.001). In the multiple linear regression analysis, fQRS (13 = 1.456, p = 0.003), diabetes mellitus (beta = -0.973, p = 0.015), hypertension (beta = -0.820, p = 0.015) and MaxLAVI (beta = -0.142, p = 0.018) were independent predictors of LV-GLS. However, fQRS (beta = 21.995, p < 0.001), MaxLAVI (beta = 3.090, p < 0.001), and E/Em ratio (beta = 3.326, p < 0.001) were also independent predictors of E/SRivr. Conclusions: The results of this study showed that LV dysfunction was more common in MetS patients with fQRS. MetS patients, and especially those who are fQRS (+), should thus be closely monitored for subclinical LV systolic and diastolic dysfunction. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.language.isoengen_US
dc.publisherCHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS, CURTIS CENTER, INDEPENDENCE SQUARE WEST, PHILADELPHIA, PA 19106-3399 USAen_US
dc.relation.isversionof10.1016/j.jelectrocard.2017.06.020en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLEFT-VENTRICULAR DYSFUNCTION; DILATED CARDIOMYOPATHY; STRAIN-RATE; FIBROSIS; DISEASE; MORTALITY; WAVEen_US
dc.subjectMetabolic syndrome; Fragmented QRS; Strain; Left ventricular dysfunctionen_US
dc.titleAssociation between metabolic syndrome and fragmented QRS complexes: Speckle tracking echocardiography studyen_US
dc.typearticleen_US
dc.relation.journalJOURNAL OF ELECTROCARDIOLOGYen_US
dc.contributor.departmentOrdu Üniversitesien_US
dc.contributor.authorID0000-0001-6052-7486en_US
dc.contributor.authorID0000-0001-7360-8090en_US
dc.contributor.authorID0000-0001-9845-7938en_US
dc.contributor.authorID0000-0002-1249-7240en_US
dc.contributor.authorID0000-0002-6523-9130en_US
dc.contributor.authorID0000-0002-6616-9891en_US
dc.identifier.volume50en_US
dc.identifier.issue6en_US
dc.identifier.startpage889en_US
dc.identifier.endpage893en_US
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