The prevalence of fragmented QRS and its relationship with left ventricular systolic function in chronic kidney disease

被引:6
作者
Liu, Peng [1 ]
Wu, Jine [1 ]
Wang, Lu [2 ]
Han, Dan [1 ]
Sun, Chaofeng [1 ]
Sun, Jingjing [3 ]
机构
[1] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Cardiol, Xian, Shaanxi, Peoples R China
[2] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Endocrinol, Xian, Shaanxi, Peoples R China
[3] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Crit Care Med, 277 Yanta West Rd, Xian 710061, Shaanxi, Peoples R China
关键词
Fragmented QRS; chronic kidney disease; left ventricular systolic function; MAGNETIC-RESONANCE; METABOLIC SYNDROME; CARDIAC FIBROSIS; COMPLEX; ASSOCIATION; PREDICTOR; MANAGEMENT; EVENTS; MARKER;
D O I
10.1177/0300060519890792
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objective To investigate the prevalence of fragmented QRS (fQRS) on electrocardiograms (ECG) in patients with different stages of chronic kidney disease (CKD) and to examine the association between fQRS and left ventricular systolic function. Methods This retrospective study analysed clinical and laboratory data from consecutive patients with CKD. The relationship between fQRS and left ventricular systolic function was evaluated using univariate and multivariate logistic regression analyses. Results A total of 310 patients (186 males; mean +/- SD age, 52.24 +/- 15.72 years) with CKD participated in this study. The prevalence of fQRS was 30.32% (94 of 310 patients). The prevalence of fQRS was more common in the inferior leads (53.19%; 50 of 94) compared with the anterior leads (21.28%; 20 of 94) and the lateral leads (25.53%; 24 of 94). Multivariate logistic regression analysis showed that left ventricular ejection fraction (odds ratio [OR] 1.356; 95% confidence interval [CI] 1.022, 2.036) and coronary artery disease (OR 2.355; 95% CI 1.056, 5.251) were independent risk factors of fQRS in patients with CKD. Conclusion The fQRS was prevalent in patients with CKD regardless of the CKD stage.
引用
收藏
页数:9
相关论文
共 50 条
  • [41] Fragmented QRS Complexes Are Associated with Increased Left Ventricular Mass in Patients with Essential Hypertension
    Kadi, Hasan
    Kevser, Ayse
    Ozturk, Ahmet
    Koc, Fatih
    Ceyhan, Koksal
    ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2013, 18 (06) : 547 - 554
  • [42] Correlation of left ventricular ejection fraction drop and fragmented QRS with ST-segment elevation myocardial infarction
    Bordbar, Armin
    Mahmoodi, Khalil
    Anasori, Haleh
    Fallah, Ramazan
    Azimi-Pirsaraei, Seyede Vanoushe
    ARYA ATHEROSCLEROSIS, 2021, 17
  • [43] Association between fragmented QRS and left ventricular dysfunction in acromegaly patients
    Dereli, Seckin
    Ozer, Hatice
    Ozer, Nurtac
    Bayramoglu, Adil
    Kaya, Ahmet
    ACTA CARDIOLOGICA, 2020, 75 (05) : 435 - 441
  • [44] Noninvasive Left Ventricular Pressure-Strain Loop for Quantitative Assessment of Early Left Ventricular Systolic Dysfunction in Patients With Chronic Kidney Disease
    Wang, Qin
    Wang, Jin-Ping
    Li, Yan
    Zhang, Jie
    Wang, Rui
    Xu, Hai-Yun
    ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2024, 41 (10):
  • [45] Decline in Left Ventricular Early Systolic Function with Worsening Kidney Function in Children with Chronic Kidney Disease: Insights from the 4C and HOT-KID Studies
    Gu, Haotian
    Azukaitis, Karolis
    Doyon, Anke
    Erdem, Sevcan
    Ranchin, Bruno
    Harambat, Jerome
    Lugani, Francesca
    Boguslavskyi, Andrii
    Cansick, Janette
    Finlay, Eric
    Gilbert, Rodney
    Kerecuk, Larissa
    Lunn, Andrew
    Maxwell, Heather
    Morgan, Henry
    Shenoy, Mohan
    Shroff, Rukshana
    Subramaniam, Pushpa
    Tizard, Jane
    Tse, Yincent
    Simpson, John
    Chowienczyk, Phil
    Schaefer, Franz
    Sinha, Manish D.
    JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2024, 37 (03) : 356 - 363.e1
  • [46] Assessment of left ventricular function by tissue Doppler echocardiography in pediatric chronic kidney disease
    Dogan, Cagla Serpil
    Akman, Sema
    Simsek, Ayse
    Ozdem, Sebahat
    Comak, Elif
    Gokceoglu, Arife Uslu
    Kardelen, Firat
    Koyun, Mustafa
    RENAL FAILURE, 2015, 37 (07) : 1094 - 1099
  • [47] Antihypertensive treatment improves left ventricular diastolic function in patients with chronic kidney disease
    Li, Ku-Lin
    Wang, Ru-Xing
    Dai, Min
    Lu, Juan
    Xue, Jing
    Yang, Xiang-Jun
    EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2015, 9 (05) : 1702 - 1708
  • [48] Left Ventricular Mass and Incident Chronic Kidney Disease
    Agarwal, Rajiv
    Song, Rebecca J.
    Vasan, Ramachandran S.
    Xanthakis, Vanessa
    HYPERTENSION, 2020, 75 (03) : 702 - 706
  • [49] Serum Osteoprotegerin Is an Independent Marker of Left Ventricular Hypertrophy, Systolic and Diastolic Dysfunction of the Left Ventricle and the Presence of Pericardial Fluid in Chronic Kidney Disease Patients
    Romejko, Katarzyna
    Rymarz, Aleksandra
    Szamotulska, Katarzyna
    Bartoszewicz, Zbigniew
    Niemczyk, Stanislaw
    NUTRIENTS, 2022, 14 (14)
  • [50] Left Ventricular Mass in Chronic Kidney Disease and ESRD
    Glassock, Richard J.
    Pecoits-Filho, Roberto
    Barberato, Silvio H.
    CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2009, 4 : S79 - S91