• Med Princ Pract · Jan 2022

    Poor nutritional status is associated with arrhythmic events on 24 hour holter recording.

    • Ozge Kurmus Ferik, Kursat Akbuga, Hatice Tolunay, Turgay Aslan, Murat Eren, Aycan Fahri Erkan, Berkay Ekici, Ebru Akgul Ercan, and Celal Kervancıoglu.
    • Department of Cardiology, Faculty of Medicine, Ufuk University, Ankara, Turkey.
    • Med Princ Pract. 2022 Jan 1; 31 (4): 368375368-375.

    BackgroundMalnutrition is associated with cardiovascular disease morbidity and mortality. Arrhythmias may be the cardiac consequences of malnutrition.ObjectivesThe objective of the study was to evaluate the association between prognostic nutritional index (PNI), Controlling Nutritional Status (CONUT) score, and arrhythmic events on 24-h electrocardiography (ECG) Holter recording in patients without manifested arrhythmia.MethodsIn this retrospective analysis of 477 patients who underwent 24-h ECG Holter monitoring, PNI and CONUT score were calculated and patients were divided into tertiles according to PNI and into three groups according to CONUT score; 0: normal, 1-2: mild risk of malnutrition, ≥3: moderate-severe risk of malnutrition. Arrhythmic events were compared between PNI tertiles and CONUT score groups.ResultsTotal number of premature atrial contractions, premature ventricular contractions (PVCs), PVC burden, and incidence of paroxysmal atrial fibrillation (PAF) were significantly higher in patients within the lowest PNI tertile. Total number of PVCs, PVC burden, and incidence of PAF were significantly higher in patients with CONUT score ≥3. The cut-off value for PNI to predict the presence of PVC was defined as 39.41 using ROC curve analysis. The area under the curve was 0.650 (p < 0.001). Multivariate analysis showed that PNI was independent predictor of the presence of PVC and PAF. Also, CONUT score was independent predictor of the presence of PVC and PAF. Incidence of nonsustained ventricular tachycardia did not differ between PNI tertiles or CONUT score groups.ConclusionPoor nutritional status, assessed by PNI and CONUT score, is associated with arrhythmic events on 24-h ECG Holter recording in patients without manifested arrhythmia.© 2022 The Author(s). Published by S. Karger AG, Basel.

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