Analysis of maximum P-wave duration and dispersion after percutaneous closure of atrial septal defects: Comparison of two septal occluders

Paç, Feyza Ayşenur; Ballı, Şevket; Topaloğlu, Serkan; Ece, İ̇brahim; Oflaz, Mehmet Burhan

doi:10.5152/akd.2012.069

Cited by 8 publications

(8 citation statements)

References 18 publications

(22 reference statements)

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“…the "foreign body" effect of the device had caused inflammation of the atrial myocardium. 39 In contrary to our study, Başpınar et al found a decrease in mean P wave dispersion of 27 atrial septal defect patients whose defects were closed by surgery. 6 In Guray's study, 34 adult patients whose defect closed by surgery were analysed.…”

contrasting

confidence: 99%

P wave dispersion in assessment of dysrhythmia risk in patients with secundum type atrial septal defect and the effect of transcatheter or surgical closure

et al. 2019

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AbstractAtrial dysrhythmia is an important cause of mortality and morbidity in patients with atrial septal defect. Increased P wave duration can predict the risk of atrial dysrhythmia. The aim of this study is to evaluate the risk of atrial dysrhythmia by measuring P wave dispersion, and to observe the effect of surgical and transcatheter closure. Sixty-one patients and 30 controls were investigated. In patient group, before and after closure and in control group at the time of presentation, 12-lead electrocardiography records were evaluated. P wave duration and amplitude, P wave axis, PR interval, P wave dispersion, QRS axis, corrected QT interval, and QT dispersion were calculated. The measurements in patient and control groups, measurements before and after closure, and measurements of surgical and transcatheter group were compared. There were 27 patients in surgical group and 34 patients in transcatheter group. In patient group, signs of right heart volume overload were apparent but there was no significant difference in terms of P wave dispersion between two groups. We compared patient group in itself and found that while the use of medication, cardiothoracic index, ratio of right ventricular dilation, and paradoxical movement in interventricular septum were increased, mean age of closure was younger in surgical group. While P wave dispersion decreased in transcatheter group after closure, it increased in surgical group (p = 0.021). In conclusion, atrial septal defects may cause atrial repolarisation abnormalities and this effect persists even after surgical closure. Transcatheter closure in childhood may decrease dysrhythmia risk in long-term follow-up.

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confidence: 99%

P wave dispersion in assessment of dysrhythmia risk in patients with secundum type atrial septal defect and the effect of transcatheter or surgical closure

et al. 2019

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“…The return to the baseline of the bottom of the trace was considered to be the end of the P-wave. The difference between the maximum and minimum P-wave duration calculated from any derivation of the 12-lead ECG was defined as the PD (PD = Pmaximum - Pminimum) [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

The Effect of Synthetic Cannabinoids on P-Wave Dispersion: An Observational Study

Sünbül¹,

Sünbül

Terzi³

et al. 2016

Med Princ Pract

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Objective: The aim of this study was to investigate the effect of synthetic cannabinoids (SC) on P-wave dispersion (PD) in patients who consume SC. Materials and Methods: The study population included 72 patients who consumed SC and 36 age- and sex-matched healthy controls. The severity of addiction was detected using the addiction profile index (BAPI). The PD was measured by 12-lead ECG obtained upon admission to hospital. Statistical analyses were performed using the SPSS v20.0 statistical software package. Results: The mean age of the patients and controls was 26.9 ± 7.0 and 26.3 ± 6.5 years, respectively. Mean duration of SC consumption was 1.7 ± 0.7 years. Mean BAPI score of patients who consumed SC was 12.8 ± 3.4. Patients who consumed SC had a significantly higher PD value than controls (37.7 ± 11.5 vs. 30.6 ± 6.4 ms, p < 0.001). The BAPI score was significantly correlated with PD value (r = 0.675, p < 0.001). In the linear regression model that included PD value, age and heart rate, PD value was significantly and independently correlated with BAPI score (r² of the model = 0.339; p < 0.001). Conclusions: In this study, patients who consumed SC had significantly higher PD values than controls, and the BAPI score correlated with the PD value. Hence SC consumption could lead to an increased risk of cardiovascular disease through prolonged PD. We recommend the use of the simple and inexpensive ECG to assess cardiovascular risk in patients who consume SC.

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“…On the other hand, immediately after ASD closure an increase in both maximum P-wave duration and PWD was noted, irrespective of the device used (Amplatzer vs. Figulla septal occluder) [22]. Our results underline the dynamics of myocardial remodelling after ASD closure.…”

Section: Discussionmentioning

confidence: 47%

Transcatheter closure of atrial septal communication: impact on P-wave dispersion, duration, and arrhythmia in mid-term follow-up

Lelakowska-Pieła¹,

Komar²,

Matusik³

et al. 2018

Kardiol Pol

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Analysis of maximum P-wave duration and dispersion after percutaneous closure of atrial septal defects: Comparison of two septal occluders

Cited by 8 publications

References 18 publications

P wave dispersion in assessment of dysrhythmia risk in patients with secundum type atrial septal defect and the effect of transcatheter or surgical closure

P wave dispersion in assessment of dysrhythmia risk in patients with secundum type atrial septal defect and the effect of transcatheter or surgical closure

The Effect of Synthetic Cannabinoids on P-Wave Dispersion: An Observational Study

Transcatheter closure of atrial septal communication: impact on P-wave dispersion, duration, and arrhythmia in mid-term follow-up

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