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P wave dispersion and QT dispersion in adult Turkish migrants with familial mediterranean fever living in Germany.
[familial mediterranean fever]
Familial
Mediterranean
Fever
(
FMF
)
is
a
hereditary
autoinflammatory
disease
associated
with
subclinical
inflammation
,
which
includes
atherosclerosis
arising
from
endothelial
inflammation
,
which
in
turn
increases
the
risk
of
atrial
or
ventricular
arrhythmias
.
Conduction
abnormalities
can
be
detected
using
the
electrocardiographic
(
ECG
)
indices
P
and
QT
dispersion
(
Pdisp
and
QTdisp
)
.
Currently
,
it
is
unknown
whether
patients
with
FMF
are
more
likely
to
have
abnormalities
of
these
ECG
indices
.
Moreover
,
existing
studies
were
conducted
in
countries
with
higher
FMF
prevalence
.
We
therefore
perform
the
first
prospective
study
assessing
Pdisp
and
QTdisp
in
adult
FMF
patients
in
Germany
,
where
prevalence
of
FMF
is
low
.
Asymptomatic
FMF
patients
(
n
=
30
)
of
Turkish
ancestry
living
in
Germany
and
age-matched
healthy
controls
(
n
=
37
)
were
prospectively
assessed
using
12
-
lead
ECG
.
Patients
and
controls
were
comparable
in
gender
and
body
mass
index
,
and
patients
had
higher
erythrocyte
sedimentation
rate
(
ESR
)
,
C-
reactive
protein
(
CRP
)
and
serum
amyloid
A
(
SAA
)
compared
to
controls
(
ESR
:
23
.
7
±
14
.
3
vs
.
16
.
1
±
13
,
3
mm
/
1
(
st
)
h
,
p
=
0
.
03
,
CRP
:
0
.
73
±
0
.
9
vs
.
0
.
26
±
0
.
4
g
/
dl
,
p
=
0
.
01
,
SAA
:
3
.
14
±
4
,
8
vs
.
0
.
37
±
0
.
3
mg
/
dl
,
p
<
0
.
01
)
.
No
statistically
significant
difference
between
patients
and
controls
respectively
,
for
Pdisp
(
43
.
7
±
11
.
9
vs
.
47
.
1
±
11
.
2
ms
,
p
=
0
.
23
)
,
QTdisp
(
65
.
9
±
12
.
3
vs
.
67
.
6
±
12
.
7
ms
,
p
=
0
.
58
)
or
corrected
QTdisp
(
cQTdisp
:
73
.
9
±
15
.
0
vs
.
76
.
0
±
13
.
3
ms
,
p
=
0
.
55
)
was
found
.
No
correlation
could
be
found
between
Pdisp
or
QTdisp
or
cQTdisp
and
any
of
the
biochemical
markers
of
inflammation
.
FMF
patients
living
in
Germany
show
a
Pdisp
and
QTdisp
comparable
to
healthy
controls
,
with
no
increased
risk
of
atrial
or
ventricular
arrhythmias
indicated
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated