Delhey L, et al. - Using data from the National Health and Nutritional Examination Survey III, researchers examined 6,249 adults to determine the link between metabolic syndrome and spatial QRS|T angle. Using the standard 12-lead electrocardiogram, they calculated spatial QRS|T angle and grouped it as abnormal, borderline, or normal. Using weighted logistic regression, they estimated the influence of metabolic syndrome and its components on QRS|T angle while stratifying by sex and adjusting for age, race, smoking status, heart rate, PR, QT, and QRS interval, and QRS amplitude. An increased risk for ventricular arrhythmias was observed in individuals with metabolic syndrome. To evaluate this cardiovascular risk, the use of spatial QRS|T angle was supported in this analysis.