Relationship between morning blood pressure surge and the frontal plane QRS-T angle in newly diagnosed hypertensive patients

Autor: Fatih Akkaya, Fatih Aksoy, İsmail Barkin Işık, Ali Bağcı, Hasan Aydın Baş, Hikmet Orhan
Rok vydání: 2021
Předmět:
Zdroj: Clinical and Experimental Hypertension. 43:707-714
ISSN: 1525-6006
1064-1963
Popis: BackgroundMorning blood pressure surge (MBPS) plays an important role in target organ damage and major adverse cardiac events. The frontal QRS-T [f(QRS-T)] angle is the electrocardiographic marker and index of ventricular arrhythmogenic events. We aimed to investigate the relationship between MBPS and the f(QRS-T) angle, which is an indicator of ventricular repolarization disorder, in patients with newly diagnosed HT.MethodsBetween June 2020 and March 2021, 263 patients with newly diagnosed HT who were admitted to our outpatient clinic were prospectively included in the study. According to ambulatory blood pressure monitoring (ABPM), the patients were categorized into two groups: Group-I: low-value MBPS (ResultsA total of 186 newly diagnosed HT patients who met the inclusion criteria were included in the study. The average f(QRS-T) angle in Groups I and 2 was 21° ± 16° and 51° ± 30°, respectively (PConclusionsAs a result of our study, we found that the f(QRS-T) angle was widened in patients with exaggerated MBPS. The cause of increased cardiovascular outcomes in patients with exaggerated MBPS may be explained by widened in the f(QRS-T) angle that is a ventricular repolarization parameter.
Databáze: OpenAIRE