Relation of fragmented QRS to tissue Doppler-derived parametersin patients with familial Mediterranean fever


Celik M. M., Buyukkaya E., Ustun N., Nacar A. B., Kurt M., Karakas M. F., ...Daha Fazla

Wiener Klinische Wochenschrift, cilt.127, sa.5-6, ss.185-190, 2015 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 127 Sayı: 5-6
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1007/s00508-015-0714-x
  • Dergi Adı: Wiener Klinische Wochenschrift
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.185-190
  • Anahtar Kelimeler: Familial Mediterranean fever, Fragmented QRS, Tissue Doppler echocardiography
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Methods: This study consisted of 80 FMF patients and 30 healthy control subjects. fQRS pattern was defined as the presence of additional R waves or RSR’, evidenced by notched R or S wave on electrocardiography (ECG). The patient and the control groups underwent conventional echocardiography and tissue Doppler echocardiography. Results: There was no significant difference between groups regarding age (29 ± 12 vs 29 ± 15). FMF patients exhibited a statistically higher frequency of fQRS (% 56 vs % 13) (p < 0.01). E/Em ratio showed a statistically significant increase in the FMF group with fQRS (p < 0.0001), while the mean Em value was markedly lower (p < 0.0001). Conclusions: FMF patients displayed a statistically significant increase in frequency of fQRS. Doppler-derived diastolic index was statistically significantly impaired in FMF patients with fQRS as compared with the patients without fQRS. In conclusion, fQRS might be a new noninvasive marker for cardiac involvement in FMF patients. Background: Familial Mediterranean fever (FMF) may pose a risk for cardiovascular diseases due to continuous inflammatory status observed during the course of the disease. Recently, the presence of fragmented QRS (fQRS) has been recognized as a predictor of myocardial fibrosis. In this study, we aim to investigate the frequency of fQRS and its relation to Doppler-based indices.