Assessment of fragmented QRS formation and its relationship with left ventricular hypertrophy in nonhypertensive acromegaly patients

It is known that the presence of fragmented QRS (fQRS) on electrocardiography (ECG) is associated with cardiovascular events. The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. In total, 47 pr...

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Veröffentlicht in:	TURKISH JOURNAL OF MEDICAL SCIENCES 2021-10, Vol.51 (5), p.2437-2444
Hauptverfasser:	Dural, Muhammet, Yorulmaz, Göknur, Alagüney, Elif Sevil, Mert, Kadir Uğur, Çamli, Ezgi, Kalkan, Ahmet Toygar, Akalin, Aysen, Kebapçi, Nur, Yilmaz, Ahmet Serdar, Murat, Selda, Efe, Belgin
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Sprache:	eng
Schlagworte:	Acromegaly - complications Acromegaly - diagnostic imaging Adult Aged Echocardiography Electrocardiography Female Heart Ventricles - diagnostic imaging Humans Hypertrophy, Left Ventricular - diagnostic imaging Male Middle Aged
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creator	Dural, Muhammet Yorulmaz, Göknur Alagüney, Elif Sevil Mert, Kadir Uğur Çamli, Ezgi Kalkan, Ahmet Toygar Akalin, Aysen Kebapçi, Nur Yilmaz, Ahmet Serdar Murat, Selda Efe, Belgin
description	It is known that the presence of fragmented QRS (fQRS) on electrocardiography (ECG) is associated with cardiovascular events. The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. In total, 47 previously diagnosed with non-hypertensive acromegaly patients and 48 control subjects were included in the study. ECG and transthoracic echocardiography (TTE) were performed for each participant. Acromegaly patients were divided into two groups according to the fQRS formation on the ECG. Left ventricular wall thicknesses, and left atrial diameter (LAD), left ventricular mass (LVM), left ventricular mass index (LVMi), and relative wall thickness (RWT) were obtained. In control group 5 (10.4%) and in acromegaly group 17 (36.2%) patients had fQRS on ECG (p = 0.003). LAD [36.0 (34.0–38.0) vs. 38.0 (35.0–41.0) mm, p < 0.001], LVM [155.27 ± 27.00 vs. 173.0 (153.0–235.0) g, p < 0.001], LVMi [83.12 ± 13.19 vs. 92.0 (83.0–118.0) g/m², p < 0.001] and RWT [0.39 ± 0.03 vs. 0.43 (0.41–0.45), p = 0.001] were significantly higher in patients with acromegaly. Disease duration was significantly higher (11.59 ± 1.3 vs. 8.2 ± 1.8 years, p < 0.001) in the fQRS (+) group. LAD [41.0 (39.0–42.5) vs. 37.0 (34.7–38.0) mm, p < 0.001], LVM [219.0 (160.5–254.5) vs. 164.0 (153.0–188.0) g, p = 0.017], LVMi [117.0 (92.5–128.5) vs. 86.0 (82.0–100.2) g/m², p = 0.013] and RWT [0.44 (0.42–0.49) vs. 0.43 (0.40–0.44), p = 0.037] were significantly higher in fQSR (+) acromegaly patients. In multivariate logistic regression analysis, disease duration (odds ratio: 10.05, 95% CI: 1.099–92.012, p = 0.041) and LAD (odds ratio: 2.19, 95% CI: 1.030–4.660, p = 0.042) were found to be the independent predictors of fQRS formation. The results of our study revealed that fQRS (+) acromegaly patients had increased LVH parameters compared to fQRS (-) patients.
doi_str_mv	10.3906/sag-2101-229
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The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. In total, 47 previously diagnosed with non-hypertensive acromegaly patients and 48 control subjects were included in the study. ECG and transthoracic echocardiography (TTE) were performed for each participant. Acromegaly patients were divided into two groups according to the fQRS formation on the ECG. Left ventricular wall thicknesses, and left atrial diameter (LAD), left ventricular mass (LVM), left ventricular mass index (LVMi), and relative wall thickness (RWT) were obtained. In control group 5 (10.4%) and in acromegaly group 17 (36.2%) patients had fQRS on ECG (p = 0.003). LAD [36.0 (34.0–38.0) vs. 38.0 (35.0–41.0) mm, p < 0.001], LVM [155.27 ± 27.00 vs. 173.0 (153.0–235.0) g, p < 0.001], LVMi [83.12 ± 13.19 vs. 92.0 (83.0–118.0) g/m², p < 0.001] and RWT [0.39 ± 0.03 vs. 0.43 (0.41–0.45), p = 0.001] were significantly higher in patients with acromegaly. Disease duration was significantly higher (11.59 ± 1.3 vs. 8.2 ± 1.8 years, p < 0.001) in the fQRS (+) group. LAD [41.0 (39.0–42.5) vs. 37.0 (34.7–38.0) mm, p < 0.001], LVM [219.0 (160.5–254.5) vs. 164.0 (153.0–188.0) g, p = 0.017], LVMi [117.0 (92.5–128.5) vs. 86.0 (82.0–100.2) g/m², p = 0.013] and RWT [0.44 (0.42–0.49) vs. 0.43 (0.40–0.44), p = 0.037] were significantly higher in fQSR (+) acromegaly patients. In multivariate logistic regression analysis, disease duration (odds ratio: 10.05, 95% CI: 1.099–92.012, p = 0.041) and LAD (odds ratio: 2.19, 95% CI: 1.030–4.660, p = 0.042) were found to be the independent predictors of fQRS formation. The results of our study revealed that fQRS (+) acromegaly patients had increased LVH parameters compared to fQRS (-) patients.</description><identifier>ISSN: 1303-6165</identifier><identifier>ISSN: 1300-0144</identifier><identifier>EISSN: 1303-6165</identifier><identifier>DOI: 10.3906/sag-2101-229</identifier><identifier>PMID: 33992041</identifier><language>eng</language><publisher>Turkey: The Scientific and Technological Research Council of Turkey</publisher><subject>Acromegaly - complications ; Acromegaly - diagnostic imaging ; Adult ; Aged ; Echocardiography ; Electrocardiography ; Female ; Heart Ventricles - diagnostic imaging ; Humans ; Hypertrophy, Left Ventricular - diagnostic imaging ; Male ; Middle Aged</subject><ispartof>TURKISH JOURNAL OF MEDICAL SCIENCES, 2021-10, Vol.51 (5), p.2437-2444</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><rights>Copyright © 2021 The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-6852-1895 ; 0000-0003-3550-2871 ; 0000-0002-9709-1871 ; 0000-0001-7227-8114 ; 0000-0002-1331-5365 ; 0000-0003-1321-1512 ; 0000-0002-8286-5256 ; 0000-0001-8596-9344 ; 0000-0002-2874-2888 ; 0000-0002-3935-0222 ; 0000-0002-1976-6060</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742487/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742487/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33992041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dural, Muhammet</creatorcontrib><creatorcontrib>Yorulmaz, Göknur</creatorcontrib><creatorcontrib>Alagüney, Elif Sevil</creatorcontrib><creatorcontrib>Mert, Kadir Uğur</creatorcontrib><creatorcontrib>Çamli, Ezgi</creatorcontrib><creatorcontrib>Kalkan, Ahmet Toygar</creatorcontrib><creatorcontrib>Akalin, Aysen</creatorcontrib><creatorcontrib>Kebapçi, Nur</creatorcontrib><creatorcontrib>Yilmaz, Ahmet Serdar</creatorcontrib><creatorcontrib>Murat, Selda</creatorcontrib><creatorcontrib>Efe, Belgin</creatorcontrib><title>Assessment of fragmented QRS formation and its relationship with left ventricular hypertrophy in nonhypertensive acromegaly patients</title><title>TURKISH JOURNAL OF MEDICAL SCIENCES</title><addtitle>Turk J Med Sci</addtitle><description>It is known that the presence of fragmented QRS (fQRS) on electrocardiography (ECG) is associated with cardiovascular events. The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. In total, 47 previously diagnosed with non-hypertensive acromegaly patients and 48 control subjects were included in the study. ECG and transthoracic echocardiography (TTE) were performed for each participant. Acromegaly patients were divided into two groups according to the fQRS formation on the ECG. Left ventricular wall thicknesses, and left atrial diameter (LAD), left ventricular mass (LVM), left ventricular mass index (LVMi), and relative wall thickness (RWT) were obtained. In control group 5 (10.4%) and in acromegaly group 17 (36.2%) patients had fQRS on ECG (p = 0.003). LAD [36.0 (34.0–38.0) vs. 38.0 (35.0–41.0) mm, p < 0.001], LVM [155.27 ± 27.00 vs. 173.0 (153.0–235.0) g, p < 0.001], LVMi [83.12 ± 13.19 vs. 92.0 (83.0–118.0) g/m², p < 0.001] and RWT [0.39 ± 0.03 vs. 0.43 (0.41–0.45), p = 0.001] were significantly higher in patients with acromegaly. Disease duration was significantly higher (11.59 ± 1.3 vs. 8.2 ± 1.8 years, p < 0.001) in the fQRS (+) group. LAD [41.0 (39.0–42.5) vs. 37.0 (34.7–38.0) mm, p < 0.001], LVM [219.0 (160.5–254.5) vs. 164.0 (153.0–188.0) g, p = 0.017], LVMi [117.0 (92.5–128.5) vs. 86.0 (82.0–100.2) g/m², p = 0.013] and RWT [0.44 (0.42–0.49) vs. 0.43 (0.40–0.44), p = 0.037] were significantly higher in fQSR (+) acromegaly patients. In multivariate logistic regression analysis, disease duration (odds ratio: 10.05, 95% CI: 1.099–92.012, p = 0.041) and LAD (odds ratio: 2.19, 95% CI: 1.030–4.660, p = 0.042) were found to be the independent predictors of fQRS formation. The results of our study revealed that fQRS (+) acromegaly patients had increased LVH parameters compared to fQRS (-) patients.</description><subject>Acromegaly - complications</subject><subject>Acromegaly - diagnostic imaging</subject><subject>Adult</subject><subject>Aged</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><issn>1303-6165</issn><issn>1300-0144</issn><issn>1303-6165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUclOwzAQtRCIlsKNM_IHEPCWOL4gVRWbVAmxnS07sRujbLLTotz5cBIKVTnN6M28N8sD4ByjKypQch3UKiIY4YgQcQCmmCIaJTiJD_fyCTgJ4QMhQlksjsGEUiEIYngKvuYhmBAqU3ewsdB6tRpzk8Pnl1doG1-pzjU1VHUOXRegN-UPEArXwk_XFbA0toObgeNdti6Vh0XfGt_5pi166GpYN_UWMXVwGwNV5pvKrFTZw3aQGojhFBxZVQZz9htn4P3u9m3xEC2f7h8X82WUEY67KGaKJoJzLnJjeJ4jrglLcM604DoTmHAVk5SkCmnLlEECpybRxA4Q0RpzOgM3W912rSuTZ-PSqpStd5XyvWyUk_8rtSvkqtnIlDPC0lHgcisw3BCCN3bHxUiObsjBDTm6IQc3hvaL_Xm75r_302-SYYtI</recordid><startdate>20211021</startdate><enddate>20211021</enddate><creator>Dural, Muhammet</creator><creator>Yorulmaz, Göknur</creator><creator>Alagüney, Elif Sevil</creator><creator>Mert, Kadir Uğur</creator><creator>Çamli, Ezgi</creator><creator>Kalkan, Ahmet Toygar</creator><creator>Akalin, Aysen</creator><creator>Kebapçi, Nur</creator><creator>Yilmaz, Ahmet Serdar</creator><creator>Murat, Selda</creator><creator>Efe, Belgin</creator><general>The Scientific and Technological Research Council of Turkey</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6852-1895</orcidid><orcidid>https://orcid.org/0000-0003-3550-2871</orcidid><orcidid>https://orcid.org/0000-0002-9709-1871</orcidid><orcidid>https://orcid.org/0000-0001-7227-8114</orcidid><orcidid>https://orcid.org/0000-0002-1331-5365</orcidid><orcidid>https://orcid.org/0000-0003-1321-1512</orcidid><orcidid>https://orcid.org/0000-0002-8286-5256</orcidid><orcidid>https://orcid.org/0000-0001-8596-9344</orcidid><orcidid>https://orcid.org/0000-0002-2874-2888</orcidid><orcidid>https://orcid.org/0000-0002-3935-0222</orcidid><orcidid>https://orcid.org/0000-0002-1976-6060</orcidid></search><sort><creationdate>20211021</creationdate><title>Assessment of fragmented QRS formation and its relationship with left ventricular hypertrophy in nonhypertensive acromegaly patients</title><author>Dural, Muhammet ; Yorulmaz, Göknur ; Alagüney, Elif Sevil ; Mert, Kadir Uğur ; Çamli, Ezgi ; Kalkan, Ahmet Toygar ; Akalin, Aysen ; Kebapçi, Nur ; Yilmaz, Ahmet Serdar ; Murat, Selda ; Efe, Belgin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c271t-54a3697779dee7dd07b2461d4b97bc9127a52828a0bf4ae0918e6b2f8282bb173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acromegaly - complications</topic><topic>Acromegaly - diagnostic imaging</topic><topic>Adult</topic><topic>Aged</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dural, Muhammet</creatorcontrib><creatorcontrib>Yorulmaz, Göknur</creatorcontrib><creatorcontrib>Alagüney, Elif Sevil</creatorcontrib><creatorcontrib>Mert, Kadir Uğur</creatorcontrib><creatorcontrib>Çamli, Ezgi</creatorcontrib><creatorcontrib>Kalkan, Ahmet Toygar</creatorcontrib><creatorcontrib>Akalin, Aysen</creatorcontrib><creatorcontrib>Kebapçi, Nur</creatorcontrib><creatorcontrib>Yilmaz, Ahmet Serdar</creatorcontrib><creatorcontrib>Murat, Selda</creatorcontrib><creatorcontrib>Efe, Belgin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dural, Muhammet</au><au>Yorulmaz, Göknur</au><au>Alagüney, Elif Sevil</au><au>Mert, Kadir Uğur</au><au>Çamli, Ezgi</au><au>Kalkan, Ahmet Toygar</au><au>Akalin, Aysen</au><au>Kebapçi, Nur</au><au>Yilmaz, Ahmet Serdar</au><au>Murat, Selda</au><au>Efe, Belgin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of fragmented QRS formation and its relationship with left ventricular hypertrophy in nonhypertensive acromegaly patients</atitle><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle><addtitle>Turk J Med Sci</addtitle><date>2021-10-21</date><risdate>2021</risdate><volume>51</volume><issue>5</issue><spage>2437</spage><epage>2444</epage><pages>2437-2444</pages><issn>1303-6165</issn><issn>1300-0144</issn><eissn>1303-6165</eissn><abstract>It is known that the presence of fragmented QRS (fQRS) on electrocardiography (ECG) is associated with cardiovascular events. The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. In total, 47 previously diagnosed with non-hypertensive acromegaly patients and 48 control subjects were included in the study. ECG and transthoracic echocardiography (TTE) were performed for each participant. Acromegaly patients were divided into two groups according to the fQRS formation on the ECG. Left ventricular wall thicknesses, and left atrial diameter (LAD), left ventricular mass (LVM), left ventricular mass index (LVMi), and relative wall thickness (RWT) were obtained. In control group 5 (10.4%) and in acromegaly group 17 (36.2%) patients had fQRS on ECG (p = 0.003). LAD [36.0 (34.0–38.0) vs. 38.0 (35.0–41.0) mm, p < 0.001], LVM [155.27 ± 27.00 vs. 173.0 (153.0–235.0) g, p < 0.001], LVMi [83.12 ± 13.19 vs. 92.0 (83.0–118.0) g/m², p < 0.001] and RWT [0.39 ± 0.03 vs. 0.43 (0.41–0.45), p = 0.001] were significantly higher in patients with acromegaly. Disease duration was significantly higher (11.59 ± 1.3 vs. 8.2 ± 1.8 years, p < 0.001) in the fQRS (+) group. LAD [41.0 (39.0–42.5) vs. 37.0 (34.7–38.0) mm, p < 0.001], LVM [219.0 (160.5–254.5) vs. 164.0 (153.0–188.0) g, p = 0.017], LVMi [117.0 (92.5–128.5) vs. 86.0 (82.0–100.2) g/m², p = 0.013] and RWT [0.44 (0.42–0.49) vs. 0.43 (0.40–0.44), p = 0.037] were significantly higher in fQSR (+) acromegaly patients. In multivariate logistic regression analysis, disease duration (odds ratio: 10.05, 95% CI: 1.099–92.012, p = 0.041) and LAD (odds ratio: 2.19, 95% CI: 1.030–4.660, p = 0.042) were found to be the independent predictors of fQRS formation. The results of our study revealed that fQRS (+) acromegaly patients had increased LVH parameters compared to fQRS (-) patients.</abstract><cop>Turkey</cop><pub>The Scientific and Technological Research Council of Turkey</pub><pmid>33992041</pmid><doi>10.3906/sag-2101-229</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6852-1895</orcidid><orcidid>https://orcid.org/0000-0003-3550-2871</orcidid><orcidid>https://orcid.org/0000-0002-9709-1871</orcidid><orcidid>https://orcid.org/0000-0001-7227-8114</orcidid><orcidid>https://orcid.org/0000-0002-1331-5365</orcidid><orcidid>https://orcid.org/0000-0003-1321-1512</orcidid><orcidid>https://orcid.org/0000-0002-8286-5256</orcidid><orcidid>https://orcid.org/0000-0001-8596-9344</orcidid><orcidid>https://orcid.org/0000-0002-2874-2888</orcidid><orcidid>https://orcid.org/0000-0002-3935-0222</orcidid><orcidid>https://orcid.org/0000-0002-1976-6060</orcidid><oa>free_for_read</oa></addata></record>
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subjects	Acromegaly - complications Acromegaly - diagnostic imaging Adult Aged Echocardiography Electrocardiography Female Heart Ventricles - diagnostic imaging Humans Hypertrophy, Left Ventricular - diagnostic imaging Male Middle Aged
title	Assessment of fragmented QRS formation and its relationship with left ventricular hypertrophy in nonhypertensive acromegaly patients
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