QT And P Wave Analysis in Egyptian Fibromyalgia Patients as A Surrogate for Arrhythmias

Abdelnaby, Mai Mohamed; Moneim, Ahmed Hassan A.; Moneim, Nermeen Hassan A.

doi:10.21608/KAMJ.2023.287599

QT And P Wave Analysis in Egyptian Fibromyalgia Patients as A Surrogate for Arrhythmias

Document Type : Original Article

Authors

¹ Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

² Department of Cardiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

10.21608/KAMJ.2023.287599

Abstract

Background: Fibromyalgia (FM) and chronic fatigue syndrome (CFS) frequently overlap clinically and have been considered variants of one common disorder. It is characterized by diffuse musculoskeletal pain and discomfort. Many studies confirmed the increased risk of heart rate abnormalities in FM patients. So, the aim of this study was to assess p wave dispersion and QT interval changes in female Egyptians with fibromyalgia. Results: The mean QT and QTc dispersions were significantly lower in FM group compared with the HC group (p<0.001 for both). The minimum QT interval was significantly higher in the FM group (p<0.001). Regarding mean P wave dispersion, it was lower in FM group compared with the HC group but the result was not statistically significant (p=0.088). Relation between patient’s results and types of graft used showed no statistically significant differences between them. Conclusion: FM patients had abnormal repolarization manifested as prolonged QTcd which makes them at higher risk for developing ventricular arrhythmias and sudden cardiac death.

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