Evaluation of the Risk of Malignant Arrhythmia Through Electrocardiography Parameters in Patients with Urinary Stone Disease

Abstract

Introduction: With a lifetime frequency of 10-15% and a recurrence rate of up to 50% within 10 years, urinary stone disease is a major cause of comorbidity. Recently, it has become widely recognized that urinary system stone disease is not only limited to kidney stone development but is also linked to cardiovascular disease and various other illnesses. Malignant arrhythmias (sudden cardiac death and ventricular arrhythmias) are consequences of coronary artery disease. Despite numerous studies demonstrating that urinary system stone disease is a risk factor for coronary artery disease, no electrocardiographic parameters have been evaluated in this patient group This prospective observational study aims to assess ventricular repolarization parameters using electrocardiography, which are risk indicators for malignant arrhythmias in patients with urinary stones disease. Materials and Methods The study included patients diagnosed with urinary stone disease and healthy volunteers. All patients underwent 12-lead electrocardiography. The electrocardiographys were evaluated for QTc interval, QTc dispersion, T peak-end interval, and Tp-e/QTc, and compared with the control group. Results: When comparing the QTc interval, QTc dispersion, T peak-end interval, and Tp-e/QTc parameters between the patient and control groups, no statistically significant differences were found. Conclusion: Contrary to existing knowledge, this study found that malignant arrhythmias in patients with urinary stone disease were not significantly different from the normal population.