The effect of metabolic syndrome on heart rate turbulence in non-diabetic patients

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dc.contributor.authorErdem, Alim
dc.contributor.authorUenishi, Masahiro
dc.contributor.authorKüçükdurmaz, Zekeriya
dc.contributor.authorMatsumoto, Kazuo
dc.contributor.authorKato, Ritsushi
dc.contributor.authorHara, Motoki
dc.contributor.authorYazıcı, Mehmet
dc.date.accessioned2021-06-23T19:29:11Z
dc.date.available2021-06-23T19:29:11Z
dc.date.issued2012
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Metabolic syndrome (MetS), which includes a cluster of risk factors, is being increasingly recognized as a new risk factor for cardiovascular disease. Heart rate turbulence (HRT) is a Holter-based non-invasive method for detecting cardiac autonomic imbalance and is an independent, powoful predictor of cardiac arrhythmias and sudden cardiac death in different patient groups. This study evaluated the effect of MetS on HRT in non-diabetic patients. Methods: This study included 80 non-diabetic MetS subjects and 50 healthy subjects. All 130 subjects underwent a 24-h ambulatory Holter electrocardiogram recording. Two indices of HRT were analyzed: turbulence onset (TO) and turbulence slope (TS). HRT values were classified into 3 categories for risk stratification: 1) Category 0, TO and TS were normal; 2) Category 1, either TO or TS was abnormal; 3) Category 2, both TO and TS were abnormal. Results: When we compared MetS rates in the HRT risk stratification groups, there were significant differences for all groups as compared with the controls (Category 0 = MetS 28.8%, n = 15, Control 71.2%, n = 37, p < 0.001; Category 1 = MetS 80.8%, n = 42, Control 19.2%, n = 10, p <0.001; Category 2 = MetS 88.5%, n = 23, Control 11.5%, n =3, p <0.001). In addition, TO and TS abnormalities were correlated with the number of MetS components (r = 0.608, p <0.001; r = -0.388, p <0.001, respectively). Conclusions: To our knowledge, this is the first study to establish a relationship between HRT and MetS. These findings suggest that MetS adversely affects HRT scores. In addition, the number of MetS components is related to impaired HRT scores. (Cardiol J 2012; 19,5: 507-512)en_US
dc.identifier.doi10.5603/CJ.2012.0092
dc.identifier.endpage512en_US
dc.identifier.issn1897-5593
dc.identifier.issue5en_US
dc.identifier.pmid23042315en_US
dc.identifier.scopus2-s2.0-84867488988en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage507en_US
dc.identifier.urihttps://doi.org/10.5603/CJ.2012.0092
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7132
dc.identifier.volume19en_US
dc.identifier.wosWOS:000311771900011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorErdem, Alim
dc.institutionauthorYazıcı, Mehmet
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofCardiology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMetabolic Syndromeen_US
dc.subjectHeartRate Turbulenceen_US
dc.subjectCardiovascular Risken_US
dc.titleThe effect of metabolic syndrome on heart rate turbulence in non-diabetic patientsen_US
dc.typeArticleen_US

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