Relation of p ‐ wave dispersion with presystolic a ‐ wave and aortic valve sclerosis in asymptomatic subjects.
Background: P‐wave duration and P‐wave dispersion (PWD) are thought to be the surrogate marker of devoloping atrial fibrillation (AF). The main purpose of present study was to investigate the association between presystolic wave (PSW), aortic valve sclerosis, and PWD. Patients and Methods: Patients...
| Publicado en: | Echocardiography Vol. 38; no. 3; pp. 386 - 394 |
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| Autores principales: | , , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149284962&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149284962 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07422822 GSE jtl: Echocardiography issn: 07422822 maglogo: Y pubinfo: dt: Mar2021 vid: 38 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 149284962 148839771 149284962 149284962 10.1111/echo.15011 149284962 ppf: 386 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Relation of p ‐ wave dispersion with presystolic a ‐ wave and aortic valve sclerosis in asymptomatic subjects. aug: au: Akyüz, Ali Rıza Özderya, Ahmet Şahin, Sinan Kul, Selim Turan, Turhan Erkan, Hakan Çırakoğlu, Ömer Faruk Karal, Hüseyin Korkmaz, Levent affil: Department of Cardiology, University of Health Sciences, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research Hospital, Trabzon, Turkey sug: subj: Diastole Aortic Valve Ultrasonography Echocardiography Calcinosis Aortic Valve Diseases Human Outpatients Comparative Studies Diastolic Pressure Sclerosis Aortic Valve Pathology Cardiac Patients Univariate Statistics Logistic Regression Descriptive Statistics Confidence Intervals Heart Conduction System Physiopathology Atrial Fibrillation Physiopathology Atrial Fibrillation Risk Factors ab: Background: P‐wave duration and P‐wave dispersion (PWD) are thought to be the surrogate marker of devoloping atrial fibrillation (AF). The main purpose of present study was to investigate the association between presystolic wave (PSW), aortic valve sclerosis, and PWD. Patients and Methods: Patients with sinus rhythm admitted to the cardiology outpatient clinic were consecutively enrolled. Maximum (Pmax) and minimum (Pmin) P‐wave duration and PWD were measured. Echocardiography was used to assess the aortic valve morphology and presence of PSW. The patients were divided into two groups according to presence or absence of AVSc and PSW. Results: A total of 100 patients were enrolled consecutively. Patients with both PSW and AVSc had higher PWD values compared with those without PSW (42 ± 15 vs 65 ± 20) and AVSc (52 ± 21 vs 69 ± 19). The patients were categorized on the basis of median PWD values. According to univariate analysis, there was significant association between PWD and presence of PSW (P:.004), presence of AVS (P:.011), hypertension (P:.01) interventricular septal thickness (IVST) (P:.026), and posterior wall thickness (PWT) (P:.022). Multivariate logistic regression analyses demonstrated presence of PSW (95% confidence interval (1.058‐6.505, P:.037) as an independent determinant of PWD. Conclusion: Assessment of presystolic A‐wave on echocardiography examination may provide important information regarding the atrial conduction velocities that is a electrophysiological cause of AF. While there was a significant association between AVSc and PWD in univariate analysis, this significance disappeared in multivariate analysis. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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