Nermin BAYAR
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
Hasan Fatih ÇAY
(Antalya Eğitim ve Araştırma Hastanesi, Romatoloji Kliniği, Antalya, Türkiye)
Zehra ERKAL
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
İLHAN SEZER
(Antalya Eğitim ve Araştırma Hastanesi, Romatoloji Kliniği, Antalya, Türkiye)
ŞAKİR ARSLAN
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
GÖKSEL ÇAĞIRCI
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
Serkan ÇAY
(Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Ankara, Türkiye)
İsa Öner YÜKSEL
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
ERKAN KÖKLÜ
(Antalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye)
Yıl: 2015Cilt: 15Sayı: 3ISSN: 2149-2263 / 2149-2271Sayfa Aralığı: 209 - 212İngilizce

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The importance of fragmented QRS in the early detection of cardiac involvement in patients with systemic sclerosis
Objective: Systemic sclerosis (SSc) is an autoimmune connective tissue disorder characterized by fibrosis. The prognosis of the disease is bad when clinically symptomatic cardiac dysfunction is occurred, therefore early detection of cardiac dysfunction is important in patients with SSc. The aim of this study was to investigate the frequency of fQRS in superficial electrocardiography in cardiacally asymptomatic patients with SSc and its relation to the systolic pulmonary artery pressure (sPAP). Methods: This study included 31 cardiacally asymptomatic patients with SSc (23 females, 40.4±9.2 years) and 41 healthy volunteers as the control (31 females, 38.2±11.8 years). The ECGs with 12 derivations and transthoracic echocardiographies of the patients were evaluated. The presence of fQRS in the superficial ECG, and its relation to systolic pulmonary artery pressure (sPAP) were investigated. Results: The mean sPAP value in the SSc group was observed to be higher than that of the control group (26 mm Hg and 20 mm Hg, respec- tively, p<0.001). The presence of fQRS in the SSc group was more frequent than the control group (55% and 10%, respectively, p<0.001). In SSc patients presence of fQRS become relevant with ≥24 mm Hg sPAP by 88% sensitivity and 79% specificity. Conclusion: In our study, the presence of fQRS in SSc patients, were more frequent than in the normal population. Since pulmonary hyperten- sion is the primary cause of mortality in patients with SSc, the correlation of fQRS with sPAP should also be considered.
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DergiAraştırma MakalesiErişime Açık
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