Comment on: “Fragmented QRS Pattern Predicts Poor Prognosis in Sepsis and Septic Shock”

Dear Editor-in-Chief, We are writing to express our views on the recently published article titled "Fragmented QRS Pattern Predicts Poor Prognosis in Sepsis and Septic Shock" by Karabacak et al.. We commend the authors for addressing an important and clinically relevant topic that explores the prognostic value of fragmented QRS (fQRS) patterns in patients with sepsis and septic shock. The study provides valuable insights into the association between fQRS patterns and short-term overall survival in critically ill patients. The authors' findings that fQRS patterns independently predict worse outcomes, alongside the need for mechanical ventilation and its duration, are particularly noteworthy. This observation could significantly influence the clinical management and risk stratification of septic patients. However, we would like to share some constructive comments and raise questions that may further refine the understanding of this important subject.