Assessment of atrial electromechanical delay and P-wave dispersion in patients with type 2 diabetes mellitus

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dc.contributor.authorDemir, Kenan
dc.contributor.authorAvci, Ahmet
dc.contributor.authorKaya, Zeynettin
dc.contributor.authorMarakoglu, Kamile
dc.contributor.authorCeylan, Esra
dc.contributor.authorYilmaz, Ahmet
dc.contributor.authorErsecgin, Ahmet
dc.date.accessioned2020-03-26T19:23:08Z
dc.date.available2020-03-26T19:23:08Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: Diabetes mellitus is an independent and strong risk factor for development of atrial fibrillation (AF). Electrophysiologic and electromechanical abnormalities are associated with a higher risk of AF. In this study we aimed to determine the correlation of atrial conduction abnormalities between the surface electrocardiographic and tissue Doppler echocardiographic measurements in type 2 diabetes mellitus (T2DM) patients. Methods: A total of 88 consecutive T2DM patients and 49 age-, gender-, and body mass index-matched healthy volunteers were included in the present study. Baseline characteristics were recorded and 24 hour ambulatory blood pressure monitoring, transthoracic echocardiography, and 12-lead surface electrocardiography were performed for all study participants. Atrial electromechanical delay (EMD) intervals were measured. Results: Maximum P-wave duration and P-wave dispersion (Pd) were significantly higher in patients with T2DM (105.7 +/- 10.2 ms vs. 102.2 +/- 7.5 ms, p = 0.02; 40.6 +/- 7.6 ms vs. 33.6 +/- 5.9 ms, p < 0.001, respectively). Interatrial, intraatrial, and intraleft atrial EMD were significantly higher in the T2DM patients when compared with the controls (16.5 +/- 7.8 ms vs.11.2 +/- 4.4 ms, p < 0.001; 9.0 +/- 7.3 ms vs. 6.0 +/- 3.8 ms, p = 0.002, and 7.4 +/- 5.2 ms vs. 5.1 +/- 3.2 ms, p = 0.002 respectively). Correlation analysis showed a positive correlation between interatrial EMD and Pd (r = 0.429, p < 0.001) and left atrial volume (r = 0.428,p < 0.001). Conclusions: In this study, there was significant EMD and Pd in patients with T2DM as compared with healthy volunteers. Additionally, interatrial EMD was correlated with Pd and left atrial volume index. (C) 2015 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.jjcc.2015.06.003en_US
dc.identifier.endpage383en_US
dc.identifier.issn0914-5087en_US
dc.identifier.issn1876-4738en_US
dc.identifier.issue03.04.2020en_US
dc.identifier.pmid26164686en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage378en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jjcc.2015.06.003
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33281
dc.identifier.volume67en_US
dc.identifier.wosWOS:000374722700029en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIERen_US
dc.relation.ispartofJOURNAL OF CARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDiabetes mellitusen_US
dc.subjectTissue Doppler imagingen_US
dc.subjectAtrial electromechanical delayen_US
dc.subjectP-wave dispersionen_US
dc.titleAssessment of atrial electromechanical delay and P-wave dispersion in patients with type 2 diabetes mellitusen_US
dc.typeArticleen_US

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