Effect of noise on the electrocardiographic parameters

Tascanov M. B., Havlioglu S., TANRIVERDİ Z., GÜNGÖREN F., ALTIPARMAK İ. H.

INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, vol.94, no.6, pp.1397-1403, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 94 Issue: 6
  • Publication Date: 2021
  • Doi Number: 10.1007/s00420-021-01676-0
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, EMBASE, Environment Index, MEDLINE, Pollution Abstracts, Public Affairs Index, Veterinary Science Database
  • Page Numbers: pp.1397-1403
  • Keywords: Noise explore, Electrocardiography, P-wave dispersion, QT interval, Tp-e interval, Tp-e, QTc ratio
  • Dokuz Eylül University Affiliated: No


Purpose Noise, defined as any sound that is unpleasant, is one of the most important environmental problems. Prolonged exposure to noise has been shown to be associated with the development of cardiovascular diseases. No study investigated the effect of noise on surface electrocardiography (ECG). Aims The aim of our study is to investigate the effect of noise on surface ECG parameters including P-wave dispersion (PWD), QT intervals, corrected QT interval (QTc), T-wave peak to end (Tp-e) interval, and Tp-e/QT and Tp-e/QTc ratios. Methods A total of 51 people working in the textile factory affected by the noise and 43 volunteers without any disease and who were not exposed to noise were included in this study. The average noise level in the textile factory was 112 dB. A 12-lead ECG was obtained from all individuals. PR interval, PWD, QRS duration, QT interval, QTc interval, Tp-e interval, and Tp-e/QT and Tp-e/QTc ratios were calculated for all individuals. Results The noise group had significantly increased PWD [35 (28-40) vs. 28 (22-36) p = 0.029], QT interval ( 373.5 +/- 27.3 vs. 359.3 +/- 2.74, p = 0.001), QTc interval [(409 +/- 21 vs. 403 +/- 13 p = 0.045)], Tp-e interval [(90.6 +/- 6.0 vs. 83.5 +/- 7.3 p < 0.001)], Tp-e/QT [(0.24 +/- 0.03 vs. 0.23 +/- 0.02, p = 0.015)] and Tp-e/QTc [(0.22 +/- 0.02 vs. 0.21 +/- 0.02 p < 0.001)] compared to control group. Also, duration of working was positively correlated with PWD (r = 0.468, p = 0.001) and Tp-e/QTc ratio (r = 0.328, p = 0.019). In multiple linear regression linear regression analysis, noise was the independent predictor of both PWD (beta = 0.244, p = 0.032) and Tp-e/QTc (beta = 0.319, p = 0.003) Conclusion We showed that noise significantly increased PWD, QT and Tp-e interval measurements. Also, noise was the independent predictor for both PWD and Tp-e/QTc.