Electrocardiogram parameters for predicting
future arrhythmia in patients with stable chronic
obstructive pulmonary disease

KAYMAZ, DİCLE; Baskovski, Emir; candemir, ipek; Candemir, Basar

doi:10.5578/tt.20229901

Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease

İpek CANDEMİR, (Ankara Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Araştırma ve Eğitim Hastanesi, Göğüs Hastalıkları Kliniği, Ankara, Türkiye)

Emir BASKOVSKI, (Ankara Üniversitesi Tıp Fakültesi İbni Sina Hastanesi Kardiyoloji Anabilim Dalı Tıp, Ankara, Türkiye)

Başar CANDEMİR, (Ankara Üniversitesi Tıp Fakültesi İbni Sina Hastanesi Kardiyoloji Anabilim Dalı Tıp, Ankara, Türkiye)

Dicle KAYMAZ (Ankara Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Araştırma ve Eğitim Hastanesi, Göğüs Hastalıkları Kliniği, Ankara, Türkiye)

Tüberküloz ve Toraks

4 1

Yıl: 2022 Cilt: 70 Sayı: 1 Sayfa Aralığı: 1 - 7 Metin Dili: İngilizce DOI: 10.5578/tt.20229901 İndeks Tarihi: 29-06-2022

Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease

Öz:

Introduction: Arrhythmia is one of the common comorbidities in chronic obstructive pulmonary disease (COPD). The aim of this study was to evaluate arrhythmia predictors by using ECG in non-hypoxemic patients with stable COPD in outpatient clinics. Materials and Methods: Fifty patients with COPD and 21 age-sex matched healthy controls were enrolled. Exclusion criteria were having history of exacerbation in the last two months, any cardiac symptoms, comorbidities, hypoxemia for COPD patients, and additionally, history of smoking for healthy controls. Twelve-lead ECGs were obtained from all patients. Results: Mean was 55 ± 4 year in all participants. Median Medical Research Council (MRC) score of COPD patients was 2 and median value of FEV1 was 49%. Median heart rate of COPD patients was 77/min with normal sinus rhythm, significantly faster than healthy controls. P-min, QTcmin, Tp-edisp, Tp-e/QT were significantly different from the control group. In patients with COPD, whilst significant correlations between pulmonary functions and Qtcmin, Qtc-max, p-min were found, there were no significant differences between groups of spirometric stages. Smoking and mMRC dyspnea scale were not correlated with ECG findings. Conclusion: This study showed that non-hypoxemic COPD patients with decreased pulmonary functions, without cardiac symptoms and comorbidities, could have risks for atrial, ventricular arrhythmias regardless of dyspnea, smoking.

Anahtar Kelime:

Stabil kronik obstrüktif akciğer hastalığı olan hastalarda gelecekteki aritmi tahmininde elektrokardiyogram parametreleri

Öz:

Giriş: Aritmi, kronik obstrüktif akciğer hastalığında (KOAH) sık görülen komorbiditelerden biridir. Bu çalışmada amacımız polikliniklerde stabil KOAH’lı hipoksemik olmayan hastalarda EKG kullanılarak aritmi belirleyicilerini değerlendirmekti. Materyal ve Metod: Çalışmaya 50 KOAH tanılı hasta, kontrol grubu olarak benzer cinsiyet ve yaşta olan 21 sağlıklı birey alındı. Dışlama kriterleri, KOAH hastaları için son iki aydır alevlenme öyküsü, kardiyak semptomlar, komorbiditeler, hipoksemi, ek olarak, sağlıklı kontroller için sigara öyküsüydü. Tüm hastalara on iki derivasyonlu EKG çekildi. Bulgular: Tüm katılımcıların yaş ortalamaları 55 ± 4 yıl idi. KOAH’lılarda medyan mMRC skoru 2, FEV1’in medyan değeri %49’du. KOAH hastalarının medyan kalp atım hızı normal sinüs ritmi ile 77/dakikaydı, sağlıklı kontrollerden anlamlı derecede daha hızlıydı. P-min, QTcmin, Tp-edisp, Tp-e/QT kontrol grubundan anlamlı olarak farklıydı. KOAHlı hastalarda, solunum fonksiyonları ile Qtc-min, Qtc-max, p-min arasında anlamlı korelasyonlar bulunurken, spirometrik evre grupları arasında anlamlı fark bulunmadı. Sigara kullanımı, mMRC dispne skalası EKG bulguları ile korele değildi. Sonuç: Bu çalışma, solunum fonksiyonları azalmış, kardiyak semptomları, komorbiditeleri olmayan non-hipoksemik KOAH hastalarında; nefes darlığı, sigara içiminden bağımsız olarak atriyal, ventriküler aritmi riski bulunabileceğini göstermiştir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	candemir i, Baskovski E, Candemir B, KAYMAZ D (2022). Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. , 1 - 7. 10.5578/tt.20229901
Chicago	candemir ipek,Baskovski Emir,Candemir Basar,KAYMAZ DİCLE Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. (2022): 1 - 7. 10.5578/tt.20229901
MLA	candemir ipek,Baskovski Emir,Candemir Basar,KAYMAZ DİCLE Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. , 2022, ss.1 - 7. 10.5578/tt.20229901
AMA	candemir i,Baskovski E,Candemir B,KAYMAZ D Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. . 2022; 1 - 7. 10.5578/tt.20229901
Vancouver	candemir i,Baskovski E,Candemir B,KAYMAZ D Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. . 2022; 1 - 7. 10.5578/tt.20229901
IEEE	candemir i,Baskovski E,Candemir B,KAYMAZ D "Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease." , ss.1 - 7, 2022. 10.5578/tt.20229901
ISNAD	candemir, ipek vd. "Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease". (2022), 1-7. https://doi.org/10.5578/tt.20229901

APA	candemir i, Baskovski E, Candemir B, KAYMAZ D (2022). Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. Tüberküloz ve Toraks, 70(1), 1 - 7. 10.5578/tt.20229901
Chicago	candemir ipek,Baskovski Emir,Candemir Basar,KAYMAZ DİCLE Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. Tüberküloz ve Toraks 70, no.1 (2022): 1 - 7. 10.5578/tt.20229901
MLA	candemir ipek,Baskovski Emir,Candemir Basar,KAYMAZ DİCLE Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. Tüberküloz ve Toraks, vol.70, no.1, 2022, ss.1 - 7. 10.5578/tt.20229901
AMA	candemir i,Baskovski E,Candemir B,KAYMAZ D Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. Tüberküloz ve Toraks. 2022; 70(1): 1 - 7. 10.5578/tt.20229901
Vancouver	candemir i,Baskovski E,Candemir B,KAYMAZ D Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease. Tüberküloz ve Toraks. 2022; 70(1): 1 - 7. 10.5578/tt.20229901
IEEE	candemir i,Baskovski E,Candemir B,KAYMAZ D "Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease." Tüberküloz ve Toraks, 70, ss.1 - 7, 2022. 10.5578/tt.20229901
ISNAD	candemir, ipek vd. "Electrocardiogram parameters for predicting future arrhythmia in patients with stable chronic obstructive pulmonary disease". Tüberküloz ve Toraks 70/1 (2022), 1-7. https://doi.org/10.5578/tt.20229901