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Frequency of Fragmented QRS in Subjects without Cardiovascular Disease

Cennet Yildiz, Ahmet Karakurt, Abdulmelik Yildiz.

Abstract
Introduction: Fragmented QRS (fQRS) is a marker of depolarization abnormality due to in homogenous electrical activation of the infarcted ventricular myocardium. However, it is a nonspecific finding and can be present in persons without the cardiovascular disease. In this study, we aimed to investigate the prevalence and characteristics of the fQRS in subjects without cardiovascular disease.
Materials and Methods: 417 patients were included in the study. All participants were evaluated with the history, physical examination and 12 lead electrocardiogram (ECG) along with 2-dimensional echocardiography. Criteria used in the diagnosis of fQSR include additional spikes within the QRS complex, the presence of additional R wave, notching in the S wave, the presence of Rí more than two contiguous leads corresponding a major coronary artery on the resting 12-lead ECG.
Results: There was no statistically significant difference between two groups with respect to age, body mass index, smoking habits, cholesterol, LDL-C, HDL-C and triglyceride levels. Percentage of fQRS was statistically significantly higher in males compared to females (p=0.03). QRS duration and Glucose level were significantly higher in patients with fQRS than those of the control subjects (p<0.001 for both comparisons). fQRS showed strong positive correlation with QRS duration and plasma glucose levels (r=0.437; p<0.001 and r=0.202 and p<0.001, respectively).
Conclusions: fQRS is not an uncommon finding in subjects without cardiovascular disease. Increased glucose levels could be one of the mechanisms that cause the formation of fQRS in those subjects.

Key words: Electrocardiogram, fragmented QRS, incidence


 
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How to Cite this Article
Pubmed Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. Ulutas Med J. 2018; 4(3): 139-143. doi:10.5455/umj.20180329013621


Web Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. http://www.ulutasmedicaljournal.com/?mno=295149 [Access: October 18, 2018]. doi:10.5455/umj.20180329013621


AMA (American Medical Association) Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. Ulutas Med J. 2018; 4(3): 139-143. doi:10.5455/umj.20180329013621



Vancouver/ICMJE Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. Ulutas Med J. (2018), [cited October 18, 2018]; 4(3): 139-143. doi:10.5455/umj.20180329013621



Harvard Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz (2018) Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. Ulutas Med J, 4 (3), 139-143. doi:10.5455/umj.20180329013621



Turabian Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. 2018. Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. THE ULUTAS MEDICAL JOURNAL, 4 (3), 139-143. doi:10.5455/umj.20180329013621



Chicago Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. "Frequency of Fragmented QRS in Subjects without Cardiovascular Disease." THE ULUTAS MEDICAL JOURNAL 4 (2018), 139-143. doi:10.5455/umj.20180329013621



MLA (The Modern Language Association) Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz. "Frequency of Fragmented QRS in Subjects without Cardiovascular Disease." THE ULUTAS MEDICAL JOURNAL 4.3 (2018), 139-143. Print. doi:10.5455/umj.20180329013621



APA (American Psychological Association) Style

Cennet Yildiz| Ahmet Karakurt| Abdulmelik Yildiz (2018) Frequency of Fragmented QRS in Subjects without Cardiovascular Disease. THE ULUTAS MEDICAL JOURNAL, 4 (3), 139-143. doi:10.5455/umj.20180329013621








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The articles in Ulutas Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.