FragmentedQRScomplexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease:Four-dimensionalspeckle tracking echocardiography

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dc.authoridKaraca, Yücel/0000-0002-5184-5308
dc.authoridTaşolar, Hakan/0000-0002-1249-7240
dc.authoridAkaycan, Jülide/0000-0002-9174-6777
dc.authoridHidayet, Şıho/0000-0002-4103-9345
dc.authoridPekdemir, Hasan/0000-0002-4913-5120
dc.authoridCansel, Mehmet/0000-0003-4740-4371;
dc.authorwosidErmis, Necip/A-5184-2018
dc.authorwosidUlutaş, Zeynep/JMB-6092-2023
dc.authorwosidKaraca, Yücel/AAA-4477-2022
dc.authorwosidTaşolar, Hakan/ABG-4466-2020
dc.authorwosidAkaycan, Jülide/ABI-2397-2020
dc.authorwosidBayramoğlu, Adil/ABI-3122-2020
dc.authorwosidHidayet, Şıho/ABI-2256-2020
dc.contributor.authorHidayet, Siho
dc.contributor.authorYagmur, Julide
dc.contributor.authorBayramoglu, Adil
dc.contributor.authorCansel, Mehmet
dc.contributor.authorErmis, Necip
dc.contributor.authorTasolar, Hakan
dc.contributor.authorKaraca, Yucel
dc.date.accessioned2024-08-04T20:48:47Z
dc.date.available2024-08-04T20:48:47Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground Behcet's disease (BD) is a chronic systemic inflammatory disease in which early detection of cardiac involvement is essential. The aim of this study was to assess the left ventricular (LV) functions in BD patients using four-dimensional (4D) speckle tracking echocardiography (STE) and to test the correlation between LV dysfunction and the presence of QRS fragmentation. Methods This cross-sectional study included 64 Behcet's patients and 48 healthy volunteers. The BD group was divided into two subgroups depending on the presence (fQRS+) or absence (fQRS-) of fragmented QRS (fQRS). In both groups, left ventricular global area strain (LV-GAS), global radial strain (GRS), global longitudinal strain (GLS), and global circumferential strain (GCS) were obtained with 4D echocardiography. Results GAS, GRS, GLS, and GCS values were significantly different in Behcet's patients and in healthy volunteers. GLS and GAS values were lower in the fQRS+ than in the fQRS- group (-15.8 +/- 1.8 and -17.9 +/- 1.6,P= .001 vs -25.0 +/- 3.1 and -29.2 +/- 4.2,P < .001, respectively). The duration of disease was longer in fQRS+ than in fQRS- patients (120.8 +/- 67.4 vs 71.0 +/- 40.5,P < .001). Multiple linear regression analysis showed that fQRS and disease duration were independent predictors of LV-GAS. Conclusions Four-dimensional STE may be helpful for the prediction of early cardiac dysfunction in patients with BD. The presence of fQRS may be an indicator of subclinical LV dysfunction.en_US
dc.identifier.doi10.1002/jcu.22899
dc.identifier.endpage233en_US
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue3en_US
dc.identifier.pmid32812267en_US
dc.identifier.scopus2-s2.0-85089462343en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage227en_US
dc.identifier.urihttps://doi.org/10.1002/jcu.22899
dc.identifier.urihttps://hdl.handle.net/11616/99459
dc.identifier.volume49en_US
dc.identifier.wosWOS:000560352300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Clinical Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBehcet's diseaseen_US
dc.subjectfour-dimensional echocardiographyen_US
dc.subjectfragmented QRSen_US
dc.titleFragmentedQRScomplexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease:Four-dimensionalspeckle tracking echocardiographyen_US
dc.typeArticleen_US

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