@article{article_464494, title={The risk of arrhythmia by calculating with new electrocardiographic parameters in pregnant women with heart failure}, journal={Turkish Journal of Clinics and Laboratory}, volume={9}, pages={331–335}, year={2018}, DOI={10.18663/tjcl.464494}, author={Göçer, Hakan and Kayacık Günday, Özlem and Ünal, Mustafa}, keywords={Cardiac arrhythmias,repolarization parameters,pregnancy,heart failure,NT-pro BNP,electrocardiography}, abstract={<p class="MsoNormal" align="left" style="margin:13.5pt 0cm 6.75pt;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Aim: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> To evaluate cardiac arrhythmias with </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">surface 12 lead electrocardiography
(ECG) parameters </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> during pregnancy
in women with mild heart failure. </span> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="margin:13.5pt 0cm 6.75pt;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Material and <span>Cardiovascular
deaths usually occur in older pregnancies and arrhythmia is the third most
common cause. Our study aimed to determine whether the risk of arrhythmia
increases in pregnancy with advanced age. </span> </span> </b> <b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;"> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041516/" title="Go to other sections in this page"> <span lang="en-us" style="color:#000000;" xml:lang="en-us">Go to: </span> </a> </span> </b> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Methods: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">This cross-sectional study was approved by the local
ethics committee of bicard clinic and our hospital 53 consecutive patients were
accepted. All patients were admitted to hospital for cesarean section. Patients
were grouped to heart failure (group 1) and control (group 2) (healthy group). A
12 lead ECG and N-terminal pro </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> </span> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;"> <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/brain-natriuretic-peptide" title="Learn more about Brain natriuretic peptide"> <span lang="en-us" style="color:#000000;" xml:lang="en-us">B-type
natriuretic peptide </span> </a> </span> <span class="MsoHyperlink"> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> ( </span> </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">NT-pro BNP) plasma levels was
recorded for every woman at 48 hour before cesarean section. They were evaluated
P wave, qt, qtc and Twave peak to end, preoperative NT-pro BNP and compared statistically. </span> </p> <p> </p> <p class="MsoNormal" align="left" style="margin:13.5pt 0cm 6.75pt;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">In
total, 280 pregnant women, of whom 98 were of advanced age and 182 were under
35 years of age were included in the study. The risk of arrhythmia was
evaluated by calculating the electrocardiographic P-wave duration, QT interval,
T peak-to-end interval, and the Tp-e/QT ratio. </span> </b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;"> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041516/" title="Go to other sections in this page"> <b> <span lang="en-us" style="color:#000000;" xml:lang="en-us">Go to: </span> </b> </a> </span> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> There were statistically
significant differences in the Tp–e interval and Tp-e/QTc ratio between the two
groups, the maximum QTc, minimum QTc, and QTc dispersion values, P wave
dispersion were significantly higher in group-1 compared to the group-2. In
addition, preoperative NT-pro BNP plasma levels was greater in the group 1
pregnant women. And there was a positive correlation between ECG parameters and
NT-pro BNP plasma levels in group 1. </span> </p> <p> </p> <p class="MsoNormal" align="left" style="margin:8.3pt 0cm;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Although
there were no differences in the Tp-e interval and Tp-e/QTc ratio between the
groups, the maximum QTc, minimum QTc, and QTc dispersion values were significantly
higher in advanced-age pregnancies co}, number={4}, publisher={DNT Ortadoğu Yayıncılık A.Ş.}