title: Is there a new finding added to the fibromyalgia syndrome?
abstract: OBJECTIVE
  The aim of this study is to examine depression and anxiety related arrhytmia risk in fibromyalgia syndrome (FMS).
  
  
  METHODS
  Fifty-nine patients with the diagnosis of FMS and 20 control participants were included in the study. Fibromyalgia Impact Questionnaire (FIQ), Visual Pain Scale (VPS) surveys were applied to determine the severity of the disease. Beck Anxiety (BAS) and Beck Depression scales (BDS) were applied to all participants. Electrocardiograms were obtained from all participants. P-wave dispersions (Pd) were estimated to determine the risk of the atrial arrhythmia, and QT wave dispersion (QTd) and corrected QT(QTdd) values were used to predict the risk of ventricular arrhythmia.
  
  
  RESULTS
  BAS and BDS results were significantly higher in the patient group compared to the control group (p˂0001). In the patient group, Pd was significantly longer (p=0.034). Other clinical, and demographic data did not differ significantly between groups.
  
  
  CONCLUSIONS
  In this study, the risk of arrhythmia in FMS was evaluated and increased Pd in patients with FMS compared to the control group was detected. This finding shows increased risk of atrial fibrilation (AF) in patients with FMS. If we consider that patients with fibromyalgia consist relatively of young patients together with the increased risk of AF with age, it is important to follow-up these patients in later ages for AF risk.
authors.affiliation: Deparment of Physical Therapy and Rehabilitation, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
authors.forename: Banu
authors.initials: B
authors.lastname: Sarifakioglu
authors.affiliation: Deparment of Physical Therapy and Rehabilitation, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
authors.forename: Aliye Yildirim
authors.initials: AY
authors.lastname: Guzelant
authors.affiliation: Deparment of Cardiology, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
authors.forename: Seref
authors.initials: S
authors.lastname: Alpsoy
authors.affiliation: Deparment of Biostatistics, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
authors.forename: Birol
authors.initials: B
authors.lastname: Topcu
authors.affiliation: Department of Psychiatry, Namik Kemal University Faculty of Medicine, Tekirdag, Turkey.
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Unsal
authors.affiliation: Deparment of Physical Therapy and Rehabilitation, Balıkesir University Faculty of Medicine, Balikesir, Turkey.
authors.forename: Nilay
authors.initials: N
authors.lastname: Sahin
keywords: Anxiety; arrhythmia; depression; electrocardiogram; fibromyalgia