Key result
Higher blood pressure correlates with a ~15% shorter R-R interval and decreased QRS axis.
Why the study?
Hypertension and cardiovascular diseases are increasing globally and affecting young people, prompting investigation into the relationship between ECG variables and blood pressure in medical students.
What is the relationship between blood pressure and ECG variables (R-R interval, QRS axis) in undergraduate medical students?
Cross-Sectional (n=160)
No
What is the relationship between blood pressure and ECG variables (R-R interval, QRS axis) in undergraduate medical students?
Higher blood pressure in medical students is associated with significant decreases in R-R interval and QRS axis on ECG.
Higher BP linked to shorter R-R intervals in students; leaves open prognostic value and requires longitudinal confirmation before clinical use.
INTRODUCTION: Across the world the prevalence of hypertension and other cardiovascular diseases are increasing at an alarming rate. These diseases also affect the young age and medical students are no exception. In this study, ECG variables like R-R interval, QRS Axis of the medical students along with their Blood pressure were recorded and the relationship between ECG variables and Blood pressure was studied. MATERIALS AND METHODS: The study was done in Dept. of Physiology, Jorhat Medical College .Sample size was calculated as 160 using EpiTools Software. Recording of Electrocardiogram and Blood pressure of 160 students were done and saved for further analysis. P values were calculated by Anova test in case of more than two variables,. Scatter diagrams were used to see the relationship between study variables. The P value <0.05 was considered as signicant. RESULTS: Comparison of ECG Variables between hypotensive, normotensive and hypertensive students showed that R-R Interval decreased signicantly from 21.37±4.24 in hypotensives to 19.74±3.39 in normotensives and 18.27±4.07 in hypertensive students. QRS Axis decreased from 75.35±10.99 degrees in hypotensives to 54.80±34.94 degrees in normotensives and 50.43±25.59 degrees in hypertensive students. CONCLUSION: Changing of life style that includes reduced consumption of fat rich diets, fast foods, red meat and salt, performing regular physical exercises, and regular health check up in the form of Blood pressure and Electrocardiogram recording could be benecial for the students to identify and take preventive measures against any cardiovascular ailments.
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Sen et al. (2022) conducted a cross-sectional in Blood pressure (n=160). Blood pressure categories was evaluated on ECG variables (R-R interval, QRS Axis). In undergraduate medical students, R-R interval and QRS axis decreased significantly as blood pressure increased, with R-R interval dropping from 21.37 in hypotensives to 18.27 in hypertensives.
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