肥胖对再极化和其他心电图参数的影响
Irena A Dykiert1, Krzysztof Kraik2, Lidia Jurczenko2
1Department of Physiology and Pathophysiology, Division of Pathophysiology, Wroclaw Medical University, 50-368 Wrocław, Poland.
Journal of clinical medicine
|June 27, 2024
概括
肥胖会延长特定的心脏再极化标志物,如Tpeak-Tend和JTpeak,以及增加P波和QRS持续时间异常,表明超重个体的潜在心血管风险.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 肥胖医学 肥胖医学
背景情况:
- 超重和肥胖是心血管疾病的确立危险因素.
- 再极化标志物,包括Tpeak-Tend和JTpeak间隔,需要在肥胖人群中进一步调查.
- 了解肥胖症中的心电图变化对于评估心血管风险至关重要.
研究的目的:
- 在超重和肥胖患者中研究长期复极化标志物 (Tpeak-Tend, JTpeak).
- 评估该人口群体中其他心电图异常的患病率.
- 探索心电图参数和肥胖指标之间的相关性.
主要方法:
- 181名超重和1级肥胖的成年人接受了心电图分析.
- 参与者填写了关于健康状况的问卷.
- 标准的12导电心电图被分析为各种参数.
主要成果:
- 肥胖个体表现出显著延长的Tpeak-Tend,JTpeak和P波分散.
- 在肥胖群体中,QT分散也增加了.
- Tpeak-Tend和JTpeak与身体质量指数 (BMI),腰围,部周长和腰与部比 (WHR) 相相关.
结论:
- 在1级肥胖症中,特定的复极化标记被延长.
- 肥胖患者的P波异常发生率较高,QRS持续时间较长.
- 这些心电图发现突出了肥胖的潜在心血管影响.
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