Atrial and ventricular arryhthmogenic potential in Turner syndrome
Abstract
BACKGROUND: P-wave dispersion (Pd), corrected P-wave dispersion (Pdc), QT-wave dispersion (QTd), and corrected QT-wave dispersion (QTdc) parameters were not assessed in Turner Syndrome (TS) before. The aim of this study is to investigate the cardiac arrhythmogenic potential in patients with TS. METHODS: Thirty-one patients with TS and 30 healthy women were enrolled in the study. For this purpose 12-lead electrocardiogram (ECG) and 24-hour ambulatory ECG recordings were performed. RESULTS: Pd, Pdc, QTd, and QTdc were significantly higher in patients with TS. On 24-hour ambulatory ECG recording, the mean heart rate (HR) was higher, while the mean of all RR intervals between normal beats (MeanNN), the standard deviation of all the RR intervals (SDNN), the square root of the mean of the squared differences of two consecutive RR intervals (rMSSD), and the percentage of the beats with consecutive RR interval difference more than 50 milliseconds (pNN50) were lower in TS. CONCLUSION: There were significant increases in Pd, Pdc, QTd, and QTdc in patients with TS and they may be features of the disease. The frequency of supraventricular arrhythmias was increased. There also was a significant deterioration of sympathetic and parasympathetic components of autonomic function as assessed by heart rate variability (HRV) in Turner patients.
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The incidence of supraventricular arrhythmias, including atrial fibrillation, may be increased in individuals with TS compared to the general population.
“The incidence of supraventricular arrhythmias, including atrial fibrillation, may be increased in individuals with TS compared to the general population.29,488,489”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [488]
A higher resting heart rate has been well documented in TS cohorts and has been linked to increased resting sympathetic tone and other features of dysautonomia.
“A higher resting heart rate has been well documented in TS cohorts and has been linked to increased resting sympathetic tone and other features of dysautonomia.487,488”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [488]
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- Authors
- SOZEN, A. B., CEFLE, K., KUDAT, H., OZTURK, S., OFLAZ, H., PAMUKCU, B., AKKAYA, V., ISGUVEN, P., PALANDUZ, S., OZCAN, M., GOREN, T., & GUVEN, O.
- Affiliations
- Istanbul University (TR)
- ORCID
- KUDAT, HASAN
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2008-08-28
- Volume
- 31
- Issue
- 9
- Pages
- 1140-1145
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2046440540
- Cited by
- 25
- References
- 23
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2013: 1 · 2012: 3
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Keywords
- Turner syndrome, P-wave dispersion, heart rate variability, autonomic dysfunction, supraventricular arrhythmias, 24-hour Holter monitoring, electrocardiographic markers
- MeSH terms
- Adult, Atrial Fibrillation, Female, Heart Rate, Humans, Turner Syndrome, Ventricular Fibrillation, Electrocardiography, Ambulatory, Young Adult
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