Objective: This study aimed to investigate the association of the Luteinizing/Follicle-stimulating hormone (LH/FSH) ratio with Electro-cardiogram (ECG) features in Polycystic Ovarian Syndrome (PCOS).
Methods: Consecutive PCOS patients’ record were recruited from the database of the hospital for the cross-sectional study. Serum concentrations of testosterone, pituitary, prolactin, progesterone, estradiol, LH, and FSH were measure and 12-lead ECG was performed for each subject. According to LH/FSH ratio, subjects were divided into High Group (LH/FSH Ratio ≥ 2, n=24), and Low Group (LH/FSH Ratio < 2, n=52). 180 ECG features were automatically extracted by an ECG management system. The relationship between LH/FSH ratio and ECG variables was assessed by univariate and multivariate linear regression models.
Results: 76 patients with PCOS were enrolled. The mean values of LH in High Group were significantly higher than that in Low Group (P < 0.0001). P wave changes, QRS duration and ST segment changes had significantly difference between the two groups. The beginning of P wave was lower in Lead I, aVL, V2, V5, V6 in High group. Compared to Low Group, QRS duration, R-Q interval and R-S interval was narrow in High Group. There were ST depression in High Group, especially in left precordial leads such as Lead I, aVL, V5 and V6. In PCOS patients, P wave, QRS duration and ST segment changes were the most abnormalities in ECG of High LH/FSH ratio Group.
Conclusions: The associations between LH/FSH ratio and ECG abnormalities were enhanced by the increased risk stratification of PCOS patients.