دورية أكاديمية
Relationship between fragmented qrs complex and early left ventricular dysfunction after mitral valve repair
| العنوان: | Relationship between fragmented qrs complex and early left ventricular dysfunction after mitral valve repair |
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| المؤلفون: | Kızılırmak Yılmaz, Filiz, Çakal, Beytullah, Yılmaz, Fatih, Yazar, Arzu, Savur, Ümeyir, Akhundova, Aysel, Güneş, Hacı Murat, Güler, Ekrem, Dursun, Atakan, Yousufzai, Navin, Güden, Mustafa |
| سنة النشر: | 2024 |
| المجموعة: | İstanbul Medipol University Institutional Repository (DSpace@Medipol) |
| مصطلحات موضوعية: | Fragmented QRS, Left Ventricular Dysfunction, Mitral Valve Prolapse, Mitral Valve Repair |
| الوصف: | Background: Preoperative left ventricular (LV) ejection fraction (PreLVEF) and preoperative LV end-systolic diameter (PreESD) are known predictors for postoperative LV dysfunction after mitral valve repair (MVR). Fragmented QRS (fQRS) evaluated in 12-derivation electrocardiography has widely been accepted as a sign of myocardial fibrosis. In the present study, we aimed to evaluate the relationship between fQRS in preoperative 12‑lead electrocardiography (ECG) and postoperative LV dysfunction that develop after MVR in patients with severe primary mitral regurgitation (MR) due to mitral valve prolapse (MVP). Methods: From 2019 to 2022, 49 patients who had undergone successful MVR surgery for severeMR caused by MVP were enrolled in the study. The preoperative and postoperative echocardiographic data were collected retrospectively. We analyzed the demographic, echocardiographic, operative and postoperative parameters to assess the relationship between fQRS and early postoperative LV dysfunction, defined as an LVEF<60%. Results: PreLVEF of all patients were ≥ . A total of 22 patients had fQRS (44.9%) and postoperative LV dysfunction was found to be 36.7%. A significantly higher rate of fQRS was observed in the group with postoperative LV dysfunction compared to the group without (12 (66.7%) vs 10 (32.3%), p: 0.036). In multivariate analysis for fQRS, PreESD, preoperative pulmonary artery systolic pressure (PrePASP), preoperative atrial fibrillation (PreAF), and male gender, only fQRS was found to be a significant predictor of postoperative LV dysfunction (p: 0.003, OR: 4.28, 95% CI (1.15–15.96). Conclusion: fQRS was found to be a predictor of postoperative LV dysfunction in the early period after MVR. fQRS may be a readily available and cost-effective test that can be used in clinical practice to predict postoperative LV dysfunction in patients undergoing MVR. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0022-0736 |
| العلاقة: | Journal of Electrocardiology; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; Kızılırmak Yılmaz, F., Çakal, B., Yılmaz, F., Yazar, A., Savur, Ü., Akhundova, A. ve Güden, M. (2024). Relationship between fragmented qrs complex and early left ventricular dysfunction after mitral valve repair. Journal of Electrocardiology, 84, 65-69. http://dx.doi.org/10.1016/j.jelectrocard.2024.03.001Test; http://dx.doi.org/10.1016/j.jelectrocard.2024.03.001Test; https://hdl.handle.net/20.500.12511/12428Test; 84; 65; 69; Q4; 001222842400001; 2-s2.0-85188846038; Q3 |
| DOI: | 10.1016/j.jelectrocard.2024.03.001 |
| الإتاحة: | https://doi.org/20.500.12511/1242810.1016/j.jelectrocard.2024.03.001Test https://hdl.handle.net/20.500.12511/12428Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.5E8169AA |
| قاعدة البيانات: | BASE |
| تدمد: | 00220736 |
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| DOI: | 10.1016/j.jelectrocard.2024.03.001 |