The relationship between P wave dispersion and diastolic dysfunction

dc.contributor.authorGündüz , Hüseyin
dc.contributor.authorBinak, Emre
dc.contributor.authorArınç, Hüseyin
dc.contributor.authorAkdemir, Ramazan
dc.contributor.authorÖzhan, Hakan
dc.contributor.authorTamer, Ali
dc.contributor.authorUyan, Cihangir
dc.date.accessioned2020-04-30T23:34:18Z
dc.date.available2020-04-30T23:34:18Z
dc.date.issued2005
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000229669300014en_US
dc.descriptionPubMed: 16107107en_US
dc.description.abstractWe investigated the relationship between P wave dispersion, which is easily measured on the surface electrocardiogram and may be used in evaluating the risk of atrial fibrillation, and left ventricular diastolic function. There were 133 patients: 73 with diastolic dysfunction and 60 without. P wave dispersions were calculated by measuring minimum and maximum P wave duration values on the surface electrocardiogram. The relationships between P wave dispersion and the presence, cause, severity, and echocardiographic measurements of diastolic dysfunction were investigated. P wave dispersion was 53 +/- 9 ms in patients with diastolic dysfunction and 43 9 ms in the control group (P < 0.01). When patients were grouped according to stage of diastolic dysfunction. P wave dispersion was 48 +/- 7 ms in stage 1, 54 +/- 8 ms in stage 2 and 58 +/- 9 ms in stage 3. As the severity of diastolic dysfunction increased, P wave dispersion increased but the difference did not reach statistical significance (P < 0.05). When the cause of diastolic dysfunction was considered, P wave dispersion was 53 +/- 8 ms in patients with ischemic heart disease and 52 +/- 9 ms in patients with left ventricular hypertrophy (P > 0.05). We conclude that P wave dispersion increases in diastolic dysfunction, but that this increase is not related to the severity or cause of diastolic dysfunction. When clinical and echocardiographic variables are taken into account, there is a weak but significant correlation only between P wave dispersion and left ventricular ejection fraction.en_US
dc.identifier.endpage167en_US
dc.identifier.issn0730-2347
dc.identifier.issue2en_US
dc.identifier.startpage163en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5139
dc.identifier.volume32en_US
dc.identifier.wosWOS:000229669300014en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTexas Heart Insten_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectatrial fibrillationen_US
dc.subjectdiastoleen_US
dc.subjectelectrocardiographyen_US
dc.subjecthypertrophy, left ventricularen_US
dc.subjectischemiaen_US
dc.subjectmyocardial contractionen_US
dc.subjectP wave dispersionen_US
dc.subjectventricular dysfunction, leften_US
dc.titleThe relationship between P wave dispersion and diastolic dysfunctionen_US
dc.typeArticleen_US

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