ArticleFrontiers in endocrinology2026
A novel QTc-RR differential biomarker for the early assessment of autonomic dysfunction in type 2 diabetes.
Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Enhanced ECG signal based on heart rate variability: validation of the direct TR correction sequence in diabetes.Frontiers in cardiovascular medicine · 2026Article
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6 authors.
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Abstract
Purpose: Prolonged QT intervals are clinically relevant in patients with type 2 diabetes mellitus (T2DM). However, accurately detecting the Q and T points in electrocardiogram (ECG) signals remains challenging owing to the variability in T-wave morphology, and few engineering solutions have effectively addressed this issue. Methods: We analysed 30-min Lead II ECG recordings from 88 patients with T2DM and 93 healthy controls. A novel automated algorithm was developed to accurately detect the Q and T points, accommodating five classified T-wave morphological types. Two electrophysiologists verified the accuracy of the algorithm. Following validation, the QTc intervals derived from the algorithm were compared between the groups. Patients with T2DM exhibited significantly prolonged QTc values and a higher incidence of long QT patterns. A new parameter, RQT Results: The proposed method accurately detected the Q and T points across diverse ECG morphologies and classified the T-wave patterns. QTc values derived from this method significantly distinguished T2DM patients from controls. The novel parameter, RQT Conclusion: This interdisciplinary study presents an engineering-based solution for robust Q- and T-point detections. The novel RQT
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