Abstract Background: Various ECG abnormalities are commonly observed in obesity and in metabol- ic syndrome. Summary: Some of these abnormalities are caused by the pushed-up position of the diaphragm due to obesity and others occur as a result of the complications of the con- dition. The position of the R wave may change, various arrhythmias may develop or the QT interval may be prolonged, which increases the tendency to malignant arrhythmias. In obe- sity, the ECG signs of ven.
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