In:
Progress in Transplantation, SAGE Publications, Vol. 24, No. 2 ( 2014-06), p. 146-151
Abstract:
Kidney transplant is a most important replacement therapy. It reduces cardiovascular mortality and morbidity but does not fully correct impairments in cardiac function. Fragmented QRS (fQRS) complex includes various RSR′ patterns with different QRS complex morphologies on electrocardiograms. Objective To analyze fQRS frequency and the relationship between fQRS and left ventricular function in kidney transplant patients. Method After demographic data on 39 kidney transplant patients were recorded and biochemical parameters were investigated, electrocardiograms were evaluated for the presence of fQRS. Left ventricular ejection fraction, mitral annular plane systolic excursion, peak early diastolic mitral annular velocities, late diastolic mitral annular velocities, and systolic mitral annular velocity were analyzed. Results Fragmented QRS was detected in 16 patients. A history of hypertension was associated with the presence of fQRS. Patients with fQRS had significantly lower systolic and peak early diastolic mitral annular velocities, mitral annular plane systolic excursion, and left ventricular ejection fraction than did patients without fQRS ( P = .03, .01, 〈 .001, and .03, respectively). Conclusion Detection of fQRS on electrocardiograms may be useful in predicting systolic and diastolic dysfunction of the left ventricle in kidney transplant patients.
Type of Medium:
Online Resource
ISSN:
1526-9248
,
2164-6708
Language:
English
Publisher:
SAGE Publications
Publication Date:
2014
detail.hit.zdb_id:
2864264-8
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