The relationship between QRS-T angle and left ventricular global longitudinal strain in prehypertensive patients

Ahmet Özderya,Ahmet Oğuz Aslan, Mehmet Ali Maz, Murat Gökhan Yerlikaya,Sinan Şahin,Hüseyin Karal, Mehmet Vatansever, Ender Emre,Turhan Turan,Ali Rıza Akyüz,Muhammet Raşit Sayın

Journal of Electrocardiology(2024)

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Abstract
Background and aim This study aims to examine the relationship between the QRS-T angle (QRS-Ta) detected on electrocardiography and left ventricular global longitudinal strain (LV-GLS) calculated on echocardiography in prehypertensive patients. Materials and methods A total of 300 patients were included in our study, and the median value of QRS-Ta of the entire population was 27.The patients were divided into two groups (supramedian 148 patients, inframedian 152 patients) according to the median value. Statistical analysis was performed between the two groups. Results LV-GLS was lower in the supramedian QRS-Ta group [20 (16–26) vs. 21 (16–27); p < 0.001]. A statistical difference was found between the two groups in age (p < 0.001), BMI (p < 0.001), Hs-troponin I (p < 0.001), aortic velocity (p = 0.023) and TAPSE (p = 0.005) parameters except for LV-GLS.The correlation between QRS-Ta and LV-GLS was determined by Spearman's correlation test (p < 0.001).In the multivariable logistic regression analysis model, LV-GLS (OR: 0.365, 95%CI 0.171–0.780, p = 0.009) was one of the independent predictors for increased QRS-Ta. Others were determined as age (p < 0.001) and TAPSE (p = 0.015). Conclusions In this study, a strong relationship was found between QRS-Ta, which is easily calculated by ECG, and LV-GLS, which is an advanced echocardiographic examination, in prehypertensive patients.
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Key words
Left ventricular global longitudinal strain,Prehypertensive patients,QRS-T angle
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