Investigation of the frequency and relationship of fragmented QRS in patients with ischemic stroke Fragmented QRS in patients with ischemic stroke

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dc.authorid0000-0003-3116-203Xen_US
dc.authorid0000-0002-1272-9654en_US
dc.authorid0000-0002-4478-4324en_US
dc.authorid0000-0001-8276-0174en_US
dc.authorscopusid36522315000en_US
dc.authorscopusid8388590800en_US
dc.authorscopusid56819132600en_US
dc.authorscopusid57191828114en_US
dc.contributor.authorÇam, Mustafa
dc.contributor.authorMalçok, Ümit Ali
dc.contributor.authorAkşit, Ercan
dc.contributor.authorOcak, Özgül
dc.date.accessioned2023-05-15T10:04:58Z
dc.date.available2023-05-15T10:04:58Z
dc.date.issued2021en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractAim: Acute ischemic stroke is an important cause of morbidity and mortality. Fragmented QRS (fQRS) is a depolarization disorder, which may be easily detected in 12-lead superficial electrocardiography (ECG), which displays a conduction delay caused by myocardial fibrotic tissue. Although the association of fQRS with ischemic heart disease is well known, there is no clear information about its relationship with ischemic stroke. In the present study, we aimed to investigate the relationship between fQRS and ischemic stroke.Material and Methods: Seventy consecutive patients with a diagnosis of ischemic stroke and 48 healthy individuals were included in this cross-sectional study. Baseline demographic and echocardiographic characteristics were recorded, and surface 12-lead standard ECGs were used.Results: The mean age of the patients was 65.19±13.91 years, and 46.6% were male. The number of patients with fQRS in the ischemic stroke group was greater than in the control group (p = 0.009). In multiple logistic regression analysis, left ventricular end-systolic diameter (LVESD) (p = 0.013, Odds ratio (OR) = 4.284, 95% Confidence interval (C.I.) = 1.366–13.432), and left atrium diameter (p = 0.020, OR = 3.985, 95% C.I. = 1.240–12.803) were found to be independent predictors of ischemic stroke.Discussion: The current study was the first to focus on evaluating the relationship between fQRS and ischemic stroke. In light of these results, we can say that patients with fQRS, who had lower LVEF, greater LVESD, and larger left atrium represent a high-risk group for ischemic stroke. fQRS may be utilized in a follow-up of these patients and in any consideration of early anticoagulation treatmenten_US
dc.identifier.citationÇam, M., Malçok, Ü.A., Akşit, E., Ocak, Ö. (2021). Investigation of the frequency and relationship of fragmented QRS in patients with ischemic stroke Fragmented QRS in patients with ischemic stroke. Annals of Clinical and Analytical Medicine, 12(S4), 414-418. doi:10.4328/ACAM.20618en_US
dc.identifier.doi10.4328/ACAM.20618
dc.identifier.endpage418en_US
dc.identifier.issn2667-663X
dc.identifier.issueS4en_US
dc.identifier.startpage414en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12428/4143
dc.identifier.volume12en_US
dc.identifier.wosWOS:000731638200011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.institutionauthorÇam, Mustafa
dc.institutionauthorMalçok, Ümit Ali
dc.institutionauthorAkşit, Ercan
dc.institutionauthorOcak, Özgül
dc.language.isoen
dc.publisherBayrakol Medical Publishingen_US
dc.relation.ispartofAnnals of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.subjectIschemic Strokeen_US
dc.subjectFragmented QRSen_US
dc.subjectEchocardiographyen_US
dc.titleInvestigation of the frequency and relationship of fragmented QRS in patients with ischemic stroke Fragmented QRS in patients with ischemic stroke
dc.typeArticle

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