Electrocardiographic P-wave characteristics in patients with end-stage renal disease: P-index and interatrial block

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dc.contributor.authorSolak, Yalcin
dc.contributor.authorGul, Enes Elvin
dc.contributor.authorKayrak, Mehmet
dc.contributor.authorAtalay, Huseyin
dc.contributor.authorAbdulhalikov, Turyan
dc.contributor.authorTurk, Suleyman
dc.contributor.authorCovic, Adrian
dc.date.accessioned2020-03-26T18:41:47Z
dc.date.available2020-03-26T18:41:47Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractP-wave parameters including P-wave dispersion (P (d)) have been examined in general population to predict development of atrial fibrillation (AF). But data on end-stage renal disease (ESRD) population are limited. P index (Pi) and interatrial block (IAB) as novel parameters may more accurately predict AF and have not been previously investigated in ESRD patients. We aimed to evaluate these novel ECG parameters in ESRD patients. Eighty-six HD, 47 CAPD, and 43 age- and gender-matched control subjects were enrolled in the study. P-wave duration was measured in all 12-leads of the surface ECG. The standard deviation of the P-wave duration across the 12 ECG leads was accepted as a Pi. P-wave duration above and equal to 110 ms was defined as IAB. All P-wave parameters were evaluated digitally by two observers. Pi was found to be significantly different among the groups in ANOVA. In post hoc analysis, P (i) was increased in HD group compared with the control group (p = 0.01). Also, P (i) tended to increase in CAPD group compared with controls (p = 0.06). The effect of ESRD on P (i) was independent of age, gender, and systolic blood pressure in univariate covariant analysis. The prevalence of IAB was 61, 55, and 32 % in patients with HD, CAPD, and controls, respectively (p = 0.001). P (d) was significantly higher in HD group compared with healthy controls. However, Pd values of CAPD patients did not show significant difference compared with controls. The present study demonstrated that IAB frequency and Pi were increased in patients with ESRD.en_US
dc.identifier.doi10.1007/s11255-012-0187-zen_US
dc.identifier.endpage517en_US
dc.identifier.issn0301-1623en_US
dc.identifier.issn1573-2584en_US
dc.identifier.issue2en_US
dc.identifier.pmid22581422en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage511en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11255-012-0187-z
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29463
dc.identifier.volume45en_US
dc.identifier.wosWOS:000316333600029en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofINTERNATIONAL UROLOGY AND NEPHROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAtrial fibrillationen_US
dc.subjectEnd-stage renal diseaseen_US
dc.subjectElectrocardiogramen_US
dc.subjectP-wave parametersen_US
dc.subjectP indexen_US
dc.subjectInteratrial blocken_US
dc.titleElectrocardiographic P-wave characteristics in patients with end-stage renal disease: P-index and interatrial blocken_US
dc.typeArticleen_US

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