The Relationship Between Frontal QRS-T Angle and Premature Ventricular Contraction Burden in Ambulatory 24-Hour Holter

dc.contributor.authorKuş, Görkem
dc.contributor.authorÇağırcı, Göksel
dc.date.accessioned2022-10-03T11:02:12Z
dc.date.available2022-10-03T11:02:12Z
dc.date.issued2022
dc.departmentALKÜ
dc.description.abstractAim: Frequent premature ventricular contractions (PVCs) can cause impaired ventricular function or dilatation of ventricular cavities. The frontal plane QRS-T [f(QRS-T)] angle is an indicator of instability in the electrophysiological properties of the myocardium and is associated with arrhythmias. The present study aimed to investigate whether f(QRS-T) angle, as a marker of ventricular repolarization heterogeneity, predicts premature ventricular contraction burden in ambulatory 24- hour Holter. Methods: The study included 100 patients. The patients were divided into two groups as ‘frequent PVC’ and ‘seldom PVC’ according to their PVC burden in 24-hour Holter monitoring. Laboratory and some ambulatory electrocardiography parameters, including frontal plane QRS-T angle, were compared between the two groups. Results: Frontal QRS-T angle (63.34±37.86° vs 23.46±14.29° p<0.001) was found to be wider in the Frequent PVC group. F(QRS-T) angle of ? 34° had a sensitivity of 82.2% and a specificity of 80% in indicating PVC load (AUC: 0.887 (0.824-0.950). In addition, a positive correlation was found between PVC burden and f(QRS-T) angle (r:0.429 p<0.001). Conclusion: The widening of f(QRS-T) angle could perhaps be considered as a surrogate marker of increased PVC burden in 24-hour Holter monitoring. Measuring f(QRS-T) angle in 12-lead ECG in patients with PVC may be a warning sign for increased PVC burden.
dc.identifier.doi10.30565/medalanya.1131541
dc.identifier.endpage206en_US
dc.identifier.issue2en_US
dc.identifier.startpage200en_US
dc.identifier.urihttps://dergipark.org.tr/tr/download/article-file/2489852
dc.identifier.urihttps://hdl.handle.net/20.500.12868/1773
dc.identifier.volume6en_US
dc.language.isoen
dc.relation.ispartofActa Medica Alanya
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Başka Kurum Yazarı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPremature ventricular contraction
dc.subjectElectrocardiography
dc.subjectFrontal QRS-T angle
dc.titleThe Relationship Between Frontal QRS-T Angle and Premature Ventricular Contraction Burden in Ambulatory 24-Hour Holter
dc.typeArticle

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