Body mass index, lipid profile, and hypertension contribute to prolonged QRS complex

Sobhani, Sahar; Raji, Sara; Aghaee, Atena; Pirzadeh, Parisa; Miandehi, Elahe Ebrahimi; Shafiei, Susan; Akbari, Masoumeh; Eslami, Saeid

doi:10.1016/j.clnesp.2022.05.011

Cited by 4 publications

(3 citation statements)

References 34 publications

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“…A cohort study published in 2022 revealed that QRS duration was associated with age, gender, HDL, TG, LDL, and BMI. [44] In another study, obesity was found to prolong Pd and QTcd. [45] In our study, the height and weight of the patient group were significantly lower than the control group, but BMI values were similar.…”

Section: Discussionmentioning

confidence: 93%

QT and P-Wave Dispersion of Patients with Antisocial Personality Disorder

Kaya

TAŞCI

KILIÇ>

et al. 2023

Journal of Contemporary Medicine

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Background: The purpose was to examine the electrocardiographic arrhythmia risk determinants of the QT and P-wave dispersions of the patients who have Antisocial Personality Disorder (ASPD) by comparing them with the healthy control group. Method: A total of 52 patients who were diagnosed with ASPD according to DSM-5 Criteria and a healthy control group that consisted of 54 people were included in the study. Twelve lead Electrocardiograms (ECGs) were obtained from all participants in the supine position and at rest, and P-wave dispersion and QT dispersion were also calculated. The participants were administered the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Buss-Durke Aggression Scale (BDAS), Barratt Impulsivity Scale (BIS-11), and sociodemographic clinical data form. The SPSS version 22 package program was used for statistical analyses. Results: The mean age of the ASPD group and control group were no statistically significant differences between them (p=0.092). QT max (p=0.016), QTd (p

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Section: Discussionmentioning

confidence: 93%

QT and P-Wave Dispersion of Patients with Antisocial Personality Disorder

Kaya

TAŞCI

KILIÇ>

et al. 2023

Journal of Contemporary Medicine

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“…At the baseline POCM examination, calibrated devices and standardized questionnaires were utilized by expert personnel (cardiologists, general practitioners, nurses, and dietitians) to collect all the data/information required by the study protocol [ 15 , 20 , 23 , 24 ]. Weight (kilograms), waist and hip circumference (centimeter), height (meters), BMI (kg/m 2 ), and anthropometric measurements were calculated using US National Institutes of Health protocols [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of Arterial Stiffness and Its Relation to Innovative Anthropometric Indices in Persian Adults

Ataee

Aghaee

Sobhani

et al. 2023

International Journal of Hypertension

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Background. BMI has been evaluated as an old criterion to evaluate obesity in individuals, but it does not assess abdominal obesity and lean mass. We aimed to evaluate the possible relationship of new anthropometric indices (namely, a body shape index (ABSI), the body roundness index (BRI), the visceral adiposity index (VAI), the visceral fat area (VFA), and waist-hip ratio (WHR)), with one of the known critical factors of atherosclerosis, arterial stiffness. Methods. Overall 5921 individuals were enrolled and were divided into four groups according to BMI. Novel anthropometric parameters including, ABSI, BRI, VAI, VFA, and WHR were calculated. The carotid-femoral pulse wave velocity (cf-PWV) was used to evaluate arterial stiffness. Multiple regression analysis was performed to assess the relationship between cf-PWV and innovative Anthropometric indices. Results. This study population consisted of 3109 women and 2812 males. In men with overweight, cf-PWV was significantly related to BMI, ABSI, BRI, WC, VAI, VFA, and WHR. However, among men with obesity, cf-PWV was associated with BRI, VAI, and VFA. Among women with overweight, cf-PWV was also related to all mentioned indices except ABSI; although, cf-PWV was only associated with VFA and WHR in women with obesity. Conclusion. Our results showed that VFA in women and VAI in men are strongly related to arterial stiffness and can be used to identify predictors of vascular disease or organic vascular dysfunction.

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“…The QRS prolongation might stem, at least in part, from analogous factors akin to those noted in AV block, such as cardiac remodeling, among others. Sobhani et al recently showed that not only BMI but also hypertension and increased lipide levels were associated with prolonged QRS duration (Sobhani et al, 2022). Furthermore, both obesity and OSA are known to associate with ventricular hypertrophy (LVH) (Cuspidi et al, 2014;Noda et al, 1995), which itself is connected with QRS prolongation.…”

Section: Ecg Changes In the Context Of The Current Literaturementioning

confidence: 99%

Morbid obesity influences the nocturnal electrocardiogram wave and interval durations among suspected sleep apnea patients

Kainulainen,

Suni,

Lipponen

et al. 2023

Noninvasive Electrocardiol

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BackgroundObesity is a global issue with a major impact on cardiovascular health. This study explores how obesity influences nocturnal cardiac electrophysiology in suspected obstructive sleep apnea (OSA) patients.MethodsWe randomly selected 12 patients from each of the five World Health Organization body mass index (BMI) classifications groups (ntotal = 60) while keeping the group's age and sex matched. We evaluated 1965 nocturnal electrocardiography (ECG) samples (10 s) using modified lead II recorded during normal saturation conditions. R‐wave peaks were detected and confirmed using dedicated software, with the exclusion of ventricular extrasystoles and artifacts. The duration of waves and intervals was manually marked. The average electric potential graphs were computed for each segment. Thresholds for abnormal ECG waveforms were P‐wave > 120 ms, PQ interval > 200 ms, QRS complex > 120 ms for, and QTc > 440 ms.ResultsObesity was significantly (p < .05) associated with prolonged conduction times. Compared to the normal weight (18.5 ≤ BMI < 25) group, the morbidly obese patients (BMI ≥ 40) had a significantly longer P‐wave duration (101.7 vs. 117.2 ms), PQ interval (175.8 vs. 198.0 ms), QRS interval (89.9 vs. 97.7 ms), and QTc interval (402.8 vs. 421.2 ms). We further examined ECG waveform prolongations related to BMI. Compared to other patient groups, the morbidly obese patients had the highest number of ECG segments with PQ interval (44% of the ECG samples), QRS duration (14%), and QTc duration (20%) above the normal limits.ConclusionsMorbid obesity predisposes patients to prolongation of cardiac conduction times. This might increase the risk of arrhythmias, stroke, and even sudden cardiac death.

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Body mass index, lipid profile, and hypertension contribute to prolonged QRS complex

Cited by 4 publications

References 34 publications

QT and P-Wave Dispersion of Patients with Antisocial Personality Disorder

QT and P-Wave Dispersion of Patients with Antisocial Personality Disorder

Evaluation of Arterial Stiffness and Its Relation to Innovative Anthropometric Indices in Persian Adults

Morbid obesity influences the nocturnal electrocardiogram wave and interval durations among suspected sleep apnea patients

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