超声心动图显示腹主动脉旁脂肪组织增加可能与QRS波群碎裂密切相关。
Increased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS.
作者信息
Çakan Fahri, Akıncı Sinan, Adar Adem, Köktürk Uğur, Akbay Ertan, Önalan Orhan
机构信息
Corlu State Hospital, Department of Cardiology, Tekirdag, Turkey Corlu State Hospital Department of Cardiology Tekirdag Turkey.
Baskent University Faculty of Medicine, Department of Cardiology, Ankara, Turkey Baskent University Baskent University Faculty of Medicine Department of Cardiology Ankara Turkey.
出版信息
Colomb Med (Cali). 2024 Jun 30;55(2):e2025986. doi: 10.25100/cm.v55i2.5986. eCollection 2024 Apr-Jun.
BACKGROUND
The association of fragmented QRS (fQRS) with many cardiac pathologies such as cardiac fibrosis has been described previously. Paraaortic adipose tissue (PAT) is thought to be associated with many cardiac diseases and there is only one publication on its echocardiographic evaluation.
AIMS
To describe the possible relationship between fQRS and PAT.
METHODS
Patients presenting to the cardiology outpatient clinic were evaluated for inclusion in the study. Presence of additional R' wave or notching/splitting of S wave in two contiguous ECG leads was defined as fragmented QRS (fQRS) and patients were divided into two groups according to fQRS status on ECG. The hypoechoic space in front of the ascending aorta was considered as PAT in the parasternal long-axis view. The medical history and routine laboratory parameters of the participants were recorded. Univariate and multivariate binary regression analysis was used to determine the relationship between PAT and fQRS.
RESULTS
A total of 221 patients were enrolled and divided into two groups according to fQRS status. PAT was significantly higher in the fQRS group: 9.2 mm (7.1/12.3) vs 6.8 mm (1.2/10.9), =0.001. Univariate analysis showed significant association between fragmented QRS and PAT size (OR 1.122, = 0.001). Binary regression analysis revealed an independent and strong association between aortic size (OR 1.4, CI95% 1.012-1.938, =0.042), paraaortic adipose tissue (OR 1.483, CI95% 1.084-2.029, =0.014) and fragmented QRS.
CONCLUSIONS
The presence of fQRS is associated with PAT, a newly defined parameter in echocardiography.
背景
既往已描述了碎裂QRS波（fQRS）与许多心脏疾病如心肌纤维化之间的关联。主动脉旁脂肪组织（PAT）被认为与多种心脏疾病有关，关于其超声心动图评估仅有一篇文献报道。
目的
描述fQRS与PAT之间可能存在的关系。
方法
对心内科门诊患者进行评估以确定是否纳入研究。在两个连续的心电图导联中出现额外的R'波或S波切迹/分裂被定义为碎裂QRS波（fQRS），并根据心电图上的fQRS状态将患者分为两组。在胸骨旁长轴视图中，升主动脉前方的低回声区被视为PAT。记录参与者的病史和常规实验室参数。采用单因素和多因素二元回归分析来确定PAT与fQRS之间的关系。
结果
共纳入221例患者，并根据fQRS状态分为两组。fQRS组的PAT明显更高：9.2mm（7.1/12.3） vs 6.8mm（1.2/10.9），P = 0.001。单因素分析显示碎裂QRS与PAT大小之间存在显著关联（OR 1.122，P = 0.001）。二元回归分析显示主动脉大小（OR 1.4，CI95% 1.012 - 1.938，P = 0.042）、主动脉旁脂肪组织（OR 1.483，CI95% 1.084 - 2.029，P = 0.014）与碎裂QRS之间存在独立且密切的关联。
结论
fQRS的存在与PAT相关，PAT是超声心动图中一个新定义的参数。
Zotero 插件