Increased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS

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dc.authoridhttps://orcid.org/0000-0002-5427-3480
dc.authoridhttps://orcid.org/0000-0001-5250-5404
dc.authoridhttps://orcid.org/0000-0002-2404-6447
dc.authoridhttps://orcid.org/0000-0003-0459-9295
dc.authoridhttps://orcid.org/0000-0002-9146-0621
dc.authoridhttps://orcid.org/0000-0001-9780-7051
dc.contributor.authorÇakan, Fahri
dc.contributor.authorAkıncı, Sinan
dc.contributor.authorAdar, Adem
dc.contributor.authorKöktürk, Uğur
dc.contributor.authorAkbay, Ertan
dc.contributor.authorÖnalan, Orhan
dc.date.accessioned2025-01-15T13:50:43Z
dc.date.available2025-01-15T13:50:43Z
dc.date.issued2024-10-28
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground: 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), p=0.001. Univariate analysis showed significant association between fragmented QRS and PAT size (OR 1.122, p= 0.001). Binary regression analysis revealed an independent and strong association between aortic size (OR 1.4, CI95% 1.012-1.938, p=0.042), paraaortic adipose tissue (OR 1.483, CI95% 1.084-2.029, p=0.014) and fragmented QRS. Conclusions: The presence of fQRS is associated with PAT, a newly defined parameter in echocardiography.
dc.identifier10.25100/cm.v55i2.5986
dc.identifier.citationÇakan, F., Akıncı, S., Adar, A., Kokturk, U., Akbay, E., & Onalan, O. (2024). Increased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS. Colombia Medica, 55(2), e2025986. https://doi.org/10.25100/cm.v55i2.5986
dc.identifier.doi10.25100/cm.v55i2.5986
dc.identifier.issn01208322
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85212754052
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.25100/cm.v55i2.5986
dc.identifier.urihttps://hdl.handle.net/20.500.14619/14993
dc.identifier.volume5
dc.identifier.wosWOS:001379601000002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherFacultad de Salud de la Universidad del Valle
dc.relation.ispartofColombia Medica
dc.relation.ispartofseriesColombia Medica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectadipose tissue
dc.subjectcardiovascular risk factors
dc.subjectechocardiography
dc.subjectFragmented QRS
dc.subjectparaaortic
dc.subjectperivascular
dc.titleIncreased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS
dc.title.alternativeEl aumento del tejido adiposo paraaórtico en la con la fragmentación del QRS
dc.typeArticle
oaire.citation.issue2
oaire.citation.volume55

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