dc.contributor.author | Köse, S | |
dc.contributor.author | Aytemir, K | |
dc.contributor.author | Sade, E | |
dc.contributor.author | Can, I | |
dc.contributor.author | Ozer, N | |
dc.contributor.author | Amasyali, B | |
dc.contributor.author | Aksoyek, S | |
dc.contributor.author | Ovunc, K | |
dc.contributor.author | Ozmen, F | |
dc.contributor.author | Atalar, E | |
dc.contributor.author | Isik, E | |
dc.contributor.author | Kes, S | |
dc.contributor.author | Demirtas, E | |
dc.contributor.author | Oto, A | |
dc.date.accessioned | 2019-12-10T11:21:41Z | |
dc.date.available | 2019-12-10T11:21:41Z | |
dc.date.issued | 2003 | |
dc.identifier.issn | 0160-9289 | |
dc.identifier.uri | https://doi.org/10.1002/clc.4960260910 | |
dc.identifier.uri | http://hdl.handle.net/11655/15504 | |
dc.description.abstract | Background: Paroxysmal atrial fibrillation (PAF) in hypertrophic cardiomyopathy (HCM) is associated with poor prognosis. Previous studies have shown good correlation between P-wave dispersion (Pd) and occurrence of PAR However, Pd in patients with HCM for predicting PAF has not been studied. Hypothesis: The aim of the study was to determine whether Pd could identify patients with HCM who are likely to suffer from PAF. Methods: Twenty-two patients with HCM with a history of PAF (Group 1) and 26 patients with HCM without a history of PAF (Group 2) were studied. Maximum (Pmax) and minimum (Pmin) P-wave durations, as well as P-wave dispersion (Pd = Pmax-Pmin) were calculated from 12-lead surface electrocardiograms (ECG). Results: P-wave dispersion was significantly different between the groups (Group 1: 55+/-6 ms vs. Group 2: 37+/-8 ms; p < 0.001), while Pmax (Group 1: 134+/-11 ms vs. Group 2: 128+/-13 ms; p = 0.06) and Pmin (Group 1: 78+/-9 ms vs. Group 2: 81+/-7 ms; p = 0.07) was not significantly different. Patients with a history of PAF had higher left atrial diameter than the patients without PAF (Group 1: 52+/-8 mm vs. Group 2:48+/-10 mm; p = 0.02). A cut-off value of 46 ms for Pd had a sensitivity of 76% and a specificity of 82% in discriminating between patients with and without PAF. Conclusion: This study suggests that P-wave dispersion could identify patients with HCM who are likely to develop PAF. | |
dc.language.iso | en | |
dc.publisher | Clinical Cardiology Publ Co | |
dc.relation.isversionof | 10.1002/clc.4960260910 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | Cardiovascular System & Cardiology | |
dc.title | Detection Of Patients With Hypertrophic Cardiomyopathy At Risk For Paroxysmal Atrial Fibrillation During Sinus Rhythm By P-Wave Dispersion | |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.relation.journal | Clinical Cardiology | |
dc.contributor.department | Kardiyoloji | |
dc.identifier.volume | 26 | |
dc.identifier.issue | 9 | |
dc.identifier.startpage | 431 | |
dc.identifier.endpage | 434 | |
dc.description.index | WoS | |