@article{article_645580, title={Relationship Between Fragmented QRS Complex and Maternal Demographic Features and Echocardiographic Parameters in Pregnancy}, journal={Sakarya Tıp Dergisi}, volume={10}, pages={17–22}, year={2020}, DOI={10.31832/smj.645580}, author={Bozkaya, Veciha Özlem}, keywords={QRS fragmentation,pregnancy,echocardiography}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">Objective:  </span> </b> <span style="font-family:Arial, sans-serif;font-size:10pt;">The aim of this study was to investigate the
relationship between the presence of fragmented QRS (f-QRS) complex on
electrocardiography (ECG) and maternal demographic characteristics and left
ventricular systolic and diastolic dysfunction on echocardiography.  </span> <b style="font-size:.9em;"> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">Materials
and </span> </b> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us"> <b>Methods:  </b> </span> <span style="font-family:Arial, sans-serif;font-size:10pt;">473 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 and echocardiographic parameters of all
participants were recorded and compared between two groups.  </span> <b style="font-size:.9em;"> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">Results:  </span> </b> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">The mean age of the study population was </span> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">27.70 ± 5.62 and mean gestational week was 7.37 ±
1.55. </span> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">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 in terms of age, gestational
week, heart rate, body mass index. Left ventricle end-systolic and diastolic
diameters and left ventricular ejection fraction were similar between the two
groups  </span> <b style="font-size:.9em;"> <span lang="en-us" style="font-size:10pt;line-height:200%;font-family:Arial, sans-serif;" xml:lang="en-us">Conclusions:   </span> </b> <span style="font-family:Arial, sans-serif;font-size:10pt;">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. Pregnant women 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 be used to determine women who
could be at risk for developing cardiac dysfunction in pregnancy. </span> </p>}, number={1}, publisher={Sakarya University}