Increased P-wave duration and P-wave dispersion in patients with aortic stenosis

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dc.authorwosidIleri, Mehmet/A-6525-2018
dc.contributor.authorTurhan, H
dc.contributor.authorYetkin, E
dc.contributor.authorAtak, R
dc.contributor.authorAltinok, T
dc.contributor.authorSenen, K
dc.contributor.authorIleri, M
dc.contributor.authorSasmaz, H
dc.date.accessioned2024-08-04T20:13:29Z
dc.date.available2024-08-04T20:13:29Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: P-wave dispersion (PWD), defined as the difference between the maximum and minimum P-wave duration, has been proposed as being useful for the prediction of paroxysmal atrial fibrillation (AF). AF is the most common arrhythmia and an important prognostic indicator for clinical deterioration in patients with aortic stenosis (AS). The,aim of the present study was to evaluate PWD in patients with AS. Methods: The study population consisted of two groups: Group I consisted of 98 patients with AS (76 men, 22 women; aged 63 8 years) and group II consisted of 98 healthy subjects (same age and sex) without any cardiovascular disease. A 12-lead electrocardiogram was recorded for each subject. The P-wave duration was calculated in all leads of the surface electrocardiogram. The difference between the maximum and minimum P-wave duration was calculated and was defined as the PWD. All patients and control subjects were also evaluated by echocardiography to measure the left atrial diameter, left ventricular ejection fraction, left ventricular wall thicknesses, and the maximum and mean aortic gradients. Patients were also evaluated for the presence of paroxysmal AF. Results: Maximum P-wave duration and PWD of group I were found to be significantly higher than those of group II. In addition, patients with paroxysmal AF had significantly higher PWD than those without paroxysmal AF. There was no significant difference between the two groups regarding minimum P-wave duration. In addition, there was no significant correlation between echocardiographic variables and PWD. Conclusion: PWD, indicating increased risk for paroxysmal AF, was found to be significantly higher in patients with AS than in those without it. Further assessment of the clinical utility of PWD for the prediction of paroxysmal AF in patients with severe AS will require longer prospective studies.en_US
dc.identifier.doi10.1046/j.1542-474X.2003.08104.x
dc.identifier.endpage21en_US
dc.identifier.issn1082-720X
dc.identifier.issue1en_US
dc.identifier.pmid12848809en_US
dc.identifier.scopus2-s2.0-0242521817en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage18en_US
dc.identifier.urihttps://doi.org/10.1046/j.1542-474X.2003.08104.x
dc.identifier.urihttps://hdl.handle.net/11616/93652
dc.identifier.volume8en_US
dc.identifier.wosWOS:000183601500005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBlackwell Futura Publishing, Incen_US
dc.relation.ispartofAnnals of Noninvasive Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectaortic stenosisen_US
dc.subjectP-wave dispersionen_US
dc.subjectatrial fibrillationen_US
dc.titleIncreased P-wave duration and P-wave dispersion in patients with aortic stenosisen_US
dc.typeArticleen_US

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