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Relationship Between Fragmented QRS Complex and Maternal Demographic Features and Echocardiographic Parameters in Pregnancy

Yıl 2020, Cilt: 10 Sayı: 1, 17 - 22, 16.03.2020
https://doi.org/10.31832/smj.645580

Öz

Objective: The aim of this study was to investigate the
relationship between the presence of fragmented QRS (f-QRS) complex on
electrocardiography (ECG) and maternal demographic characteristics and left
ventricular systolic and diastolic dysfunction on echocardiography. 
Materials
and
Methods: 473 pregnant women enrolled in this study and divided
into two groups. (f-QRS positive group n=77, f-QRS negative group n=396 ).
Maternal demographic features and echocardiographic parameters of all
participants were recorded and compared between two groups. 
Results: The mean age of the study population was 27.70 ± 5.62 and mean gestational week was 7.37 ±
1.55.
Parity in f-QRS positive
group was higher than in control group (p=0.01). There was a statistically
significant trend between fragmentation frequency and parity number (p=0.002). There
were no significant differences between two groups in terms of age, gestational
week, heart rate, body mass index. Left ventricle end-systolic and diastolic
diameters and left ventricular ejection fraction were similar between the two
groups 
Conclusions:  The presence of f-QRS was correlated with increase in number
of parity and we suggest that multiparity may be a risk factor for cardiac
events during pregnancy. Pregnant women with f-QRS on their rest ECG need extra
attention in terms of cardiovascular disease. By demonstrating clinical
significance of f-QRS, this simple tool might be used to determine women who
could be at risk for developing cardiac dysfunction in pregnancy.

Kaynakça

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  • 5. Bouvier-Colle MH, Mohangoo AD, Gissler M, Novak-Antolic Z, Vutuc C, Szamotulska K, et al. What about the mothers? An analysis of maternal mortality and morbidity in perinatal health surveillance systems in Europe. BJOG : an international journal of obstetrics and gynaecology 2012;119(7):880-9; discussion 90. doi: 10.1111/j.1471-0528.2012.03330.x. PubMed PMID: 22571748; PubMed Central PMCID: PMC3472023.
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  • 12. Ozmen N, Cebeci BS, Yiginer O, Muhcu M, Kardesoglu E, Dincturk M. P-wave dispersion is increased in pregnancy due to shortening of minimum duration of P: does this have clinical significance? The Journal of international medical research 2006;34(5):468-74. doi: 10.1177/147323000603400503. PubMed PMID: 17133775.
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Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Veciha Özlem Bozkaya

Yayımlanma Tarihi 16 Mart 2020
Gönderilme Tarihi 11 Kasım 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 10 Sayı: 1

Kaynak Göster

AMA Bozkaya VÖ. Relationship Between Fragmented QRS Complex and Maternal Demographic Features and Echocardiographic Parameters in Pregnancy. Sakarya Tıp Dergisi. Mart 2020;10(1):17-22. doi:10.31832/smj.645580

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