Can P Wave Parameters Obtained From 12-Lead Surface Electrocardiogram be a Predictor for Atrial Fibrillation in Patients Who Have Structural Heart Disease?

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dc.contributor.authorAltunkeser, Bülent Behlül
dc.contributor.authorÖzdemir, Kurtuluş
dc.contributor.authorGök, Hasan
dc.contributor.authorTemizhan, Ahmet
dc.contributor.authorTokaç, Mehmet
dc.contributor.authorKarabağ, Turgut
dc.date.accessioned2020-03-26T16:45:28Z
dc.date.available2020-03-26T16:45:28Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThis study was planned to investigate the parameters detecting risk of developing atrial fibrillation (AF) in patients with sinus rhythm with structural heart disease. Forty-five patients with AF and 37 patients without AF but with structural heart disease (Group I) were included in this study. Thirty-eight patients (Group II) had successfully undergone medically or electrically cardioversion after transesophageal echocardiography. The restoration of sinus rhythm could not be achieved in 7 patients who were excluded from this study. After providing sinus rhythm, amiodarone was given orally to the patients to prevent recurrences. Left ventricular ejection fraction (LVEF) was calculated and left atrial diameter (LAD) was measured by echocardiography in group I and in group II after cardioversion. A 12-lead electrocardiography (ECG) was simultaneously obtained from all the patients. In these ECG recordings, maximum P wave duration (P max), minimum P wave duration (P min), and P wave dispersion (P dispersion) were calculated. P dispersion was expressed as "P max-P min." Also, the highest P wave voltage is expressed as P amplitude maximum (P amp max), the lowest P wave as P amplitude minimum (P amp min), and P amplitude dispersion (P amp dispersion) was calculated as the difference of both. In univariate analysis, P max, P dispersion, P amp max, P amp dispersion, LAD, LVEF, and old age were significant predictors of chronic AF (p < 0.001, p < 0.01, p < 0.01, p < 0.01, p = 0.003, p = 0.02, and p = 0.01, respectively). However, in multivariate analysis, P max and LAD were independent predictors of chronic AF in patients with structural heart disease (r = 0.39, p < 0.05; r = 0.34; p < 0.05, respectively). In conclusion, in estimating the risk of developing chronic AF, P max and LAD are predictive parameters in patients with sinus rhythm with structural heart disease.en_US
dc.identifier.citationAltunkeser, B. B., Özdemir, K., Gök, H., Temizhan, A., Tokaç, M.., Karabağ, T., (2003). Can P Wave Parameters Obtained From 12-Lead Surface Electrocardiogram be a Predictor for Atrial Fibrillation in Patients Who Have Structural Heart Disease?. Angiology, 54(4), 475-479. Doi: 10.1177/000331970305400412
dc.identifier.doi10.1177/000331970305400412en_US
dc.identifier.endpage479en_US
dc.identifier.issn0003-3197en_US
dc.identifier.issue4en_US
dc.identifier.pmid12934768en_US
dc.identifier.startpage475en_US
dc.identifier.urihttps://dx.doi.org/10.1177/000331970305400412
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18384
dc.identifier.volume54en_US
dc.identifier.wosWOS:000184518800012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAltunkeser, Bülent B.
dc.institutionauthorÖzdemir, Kurtuluş
dc.institutionauthorGök, Hasan
dc.institutionauthorTemizhan, Ahmet
dc.institutionauthorTokaç, Mehmet
dc.institutionauthorKarabağ, Turgut
dc.language.isoenen_US
dc.publisherWestminster Publ Incen_US
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleCan P Wave Parameters Obtained From 12-Lead Surface Electrocardiogram be a Predictor for Atrial Fibrillation in Patients Who Have Structural Heart Disease?en_US
dc.typeArticleen_US

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