Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects

Objectives Stiffness of large arteries has been related to cardiovascular mortality. Cardio-ankle vascular index (CAVI) is a novel marker of arterial stiffness. Herein, we aimed to study the relationship between fragmented QRS (fQRS) in electrocardiogram and CAVI. Methods Asymptomatic patients with...

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Main Authors: Ali Rıza Akyüz, Sinan Şahin, Ömer Faruk Çırakoğlu, Selim Kul, Turhan Turan, Hakan Erkan
Format: Article
Language:English
Published: Taylor & Francis Group 2021-05-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2021.1890764
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author Ali Rıza Akyüz
Sinan Şahin
Ömer Faruk Çırakoğlu
Selim Kul
Turhan Turan
Hakan Erkan
author_facet Ali Rıza Akyüz
Sinan Şahin
Ömer Faruk Çırakoğlu
Selim Kul
Turhan Turan
Hakan Erkan
author_sort Ali Rıza Akyüz
collection DOAJ
description Objectives Stiffness of large arteries has been related to cardiovascular mortality. Cardio-ankle vascular index (CAVI) is a novel marker of arterial stiffness. Herein, we aimed to study the relationship between fragmented QRS (fQRS) in electrocardiogram and CAVI. Methods Asymptomatic patients with fQRS and without fQRS were enrolled in the study consecutively. The fQRS complexes were analyzed in the 12-lead electrocardiogram. Arterial stiffness was assessed by using cardio ankle vascular index (CAVI). It was measured by a VaSera VS-1000 CAVI instrument. Results CAVI values of the patients with fQRS was significantly higher compared to those without fQRS (8.625 (7.9–9.2) versus 6.65 (6.7–8.4) p < .001). In a univariate analysis, it was revealed that there was a significant correlation between increased CAVI and fQRS, age, and epicardial fat thickness. Multiple binary logistic regression analysis revealed that age [95% confidence interval (CI): 1,068–1.214, p < .001] and fQRS [95% (CI): 1.766–23.117, p: 0.005] were the independent determinants of increased CAVI values. Conclusions ECG is a widely and readily available, inexpensive, reproducible technique that can be examined by almost every physician. fQRS values in electrocardiogram may provide a significant predictive value for arterial stiffness in asymptomatic subjects.
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spelling doaj.art-7931a6be852645638c217990478f575f2023-09-19T15:19:30ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062021-05-0143436837210.1080/10641963.2021.18907641890764Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjectsAli Rıza Akyüz0Sinan Şahin1Ömer Faruk Çırakoğlu2Selim Kul3Turhan Turan4Hakan Erkan5University of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalUniversity of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalUniversity of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalUniversity of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalUniversity of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalUniversity of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research HospitalObjectives Stiffness of large arteries has been related to cardiovascular mortality. Cardio-ankle vascular index (CAVI) is a novel marker of arterial stiffness. Herein, we aimed to study the relationship between fragmented QRS (fQRS) in electrocardiogram and CAVI. Methods Asymptomatic patients with fQRS and without fQRS were enrolled in the study consecutively. The fQRS complexes were analyzed in the 12-lead electrocardiogram. Arterial stiffness was assessed by using cardio ankle vascular index (CAVI). It was measured by a VaSera VS-1000 CAVI instrument. Results CAVI values of the patients with fQRS was significantly higher compared to those without fQRS (8.625 (7.9–9.2) versus 6.65 (6.7–8.4) p < .001). In a univariate analysis, it was revealed that there was a significant correlation between increased CAVI and fQRS, age, and epicardial fat thickness. Multiple binary logistic regression analysis revealed that age [95% confidence interval (CI): 1,068–1.214, p < .001] and fQRS [95% (CI): 1.766–23.117, p: 0.005] were the independent determinants of increased CAVI values. Conclusions ECG is a widely and readily available, inexpensive, reproducible technique that can be examined by almost every physician. fQRS values in electrocardiogram may provide a significant predictive value for arterial stiffness in asymptomatic subjects.http://dx.doi.org/10.1080/10641963.2021.1890764cardio ankle vascular indexarterial stiffnessfragmented qrs
spellingShingle Ali Rıza Akyüz
Sinan Şahin
Ömer Faruk Çırakoğlu
Selim Kul
Turhan Turan
Hakan Erkan
Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
Clinical and Experimental Hypertension
cardio ankle vascular index
arterial stiffness
fragmented qrs
title Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
title_full Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
title_fullStr Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
title_full_unstemmed Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
title_short Relation between fragmented QRS complex and cardio-ankle vascular index in asymptomatic subjects
title_sort relation between fragmented qrs complex and cardio ankle vascular index in asymptomatic subjects
topic cardio ankle vascular index
arterial stiffness
fragmented qrs
url http://dx.doi.org/10.1080/10641963.2021.1890764
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