Gebelikte Fragmente QRS Kompleksi ile Maternal Demografik Özellikler ve Ekokardiyografik Parametreler Arasındaki İlişki

Amaç Bu çalışmanın amacı, elektrokardiyografide (EKG) fragmente QRS (f-QRS) kompleksi varlığı ile maternal demografik özellikler ve ekokardiyografide sol ventrikül sistolik ve diyastolik disfonksiyonları arasında ilişkiyi araştırmaktır Gereç ve Yöntemler Çalışmaya 473 gebe dahil edildi ve iki gruba ayrıldı( f-QRS pozitif grup n=77, f-QRS negative grup n=396 ). Tüm katılımcıların maternal demografik özellikleri ve ekokardiyografik parametreleri kaydedildi ve iki grup arasında karşılaştırıldı. Bulgular Çalışma popülasyonunun yaş ortalaması 27.70 ± 5.62, gebelik haftası ortalama 7.37 ± 1.55 idi. f-QRS pozitif gruptaki parite kontrol grubundan daha yüksekti (p = 0.01). Fragmentasyon sıklığı ve parite sayısı arasında istatistiksel olarak anlamlı bir eğilim vardı. (p=0.002). İki grup arasında yaş, gebelik haftası, kalp hızı, vücut kitle indeksi açısından anlamlı fark yoktu. Sol ventrikül end sistolik ve diyastolik çaplar ve sol ventrikül ejeksiyon fraksiyonu iki grup arasında benzerdi Sonuç F-QRS varlığı parite sayısındaki artışla korele idi ve multiparitenin gebelikte kardiyak olaylar için bir risk faktörü olabileceğini düşünüyoruz. İstirahatinde f-QRS olan gebelerin EKG’si kardiyovasküler hastalıklar açısından ekstra dikkat gerektirmektedir. f-QRS’nin klinik önemini göstererek, bu basit araç gebelikte kardiyak disfonksiyon gelişimi riski taşıyan kadınları belirlemek için kullanılabilir.

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

Objective The aim of this study was to investigate the relationship between the presence of fragmented QRS (f-QRS) complex on electrocardiography (ECG) and maternaldemographic characteristics and left ventricular systolic and diastolic dysfunction on echocardiography.Materialsand Methods473 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 andechocardiographic 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 interms of age, gestational week, heart rate, body mass index. Left ventricle end-systolic and diastolic diameters and left ventricular ejection fraction were similar betweenthe two groupsConclusion 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. Pregnantwomen 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 beused to determine women who could be at risk for developing cardiac dysfunction in pregnancy

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