EVALUATION OF P WAVE DISPERSION IN ECG; QT DISPERSION AND OTHER ECG CHANGES IN PATIENTS ADMITTED TO EMERGENCY DUE TO STROKE

Year 2017, Volume: 2 Issue: 3, 42 - 55, 15.12.2017

Erhan Dedeoglu Başak Bayram Mahmut Fırat Kaynak Erdinç Öz

Abstract

Aims: In this, a comparison ofQT, QTc, QTdis, P wave and Pdis values from the
first ECG recordings in stroke patients and healthy individuals in emergency department was realized, and it was searched whether these values were predictors
of prognosis within gender and age or not.

Materials and methods:Along with a control group of  90 patients, 76 patients with a diagnosis on ischemic stroke presenting
neurological symptoms and brain CT and / or MRI evaluation in the emergency
room were included in the study. All patients were analysed with 12-lead
electrocardiograms and PMAX, PMIN, pdis, QT, QTc, QTDIS and QTCDIS intervals
were measured.

Results:During the Pdis comparison in control and stroke groups,
interval wasdetected significantly higher in the stroke group[95% CI; 39.55 to
49.40] compared to the control group [95% CI; 26.55 to 33.45]. QTDİS[95% CI; Vs
49.16 to 62.28 39.28 to 46.82] and QTCDİSvalues [95% CI; 54.22 to 72.83 vs
43,10-51,1739,28-46,82] werealso detected statistically meaningful in stroke
group compared to control cases.

Conclusion:Pdis, QTDIS and QTCDIS intervals that were determined to
be prolonged in stroke gropus compared to the control group should be
considered as important parameters in prognosis and clinical follow-up.

Keywords

Stroke, P wave dispersion, QT-QTc wave dispersion

İNMEYLE BAŞVURULAN ACİL DURUM HASTALARINDA: P DALGA DİSPERSİYONU, QT DISPERSION VE DİĞER EKG DEĞİŞİKLİKLERİ

Abstract

Amaç: Bu çalışmada, acil
serviste  inme hastalarında ve sağlıklı bireylerde ilk EKG kayıtlarından
QT, QTc, QTdis, P dalga ve Pdis değerlerinin karşılaştırılması yapıldı ve bu
değerlerin cinsiyet ve yaş açısından prognoz belirleyicileri olup olmadığı
araştırıldı.Gereç ve yöntem: 90 hastadan oluşan bir kontrol grubu ile birlikte,
nörolojik semptomları olan ve iskemik inme tanısı konan 76 hastanın acil
serviste beyin BT ve / veya MRG değerlendirmesi yapıldı. Tüm hastalar 12
derivasyonlu elektrokardiyografi ile analiz edildi ve PMAX, PMIN, pdis, QT,
QTc, QTDIS ve QTCDIS aralıkları ölçüldü.

Bulgular: Kontrol grubu ve
inme gruplarındaki Pdis karşılaştırması sırasında, aralık inmeli grupta [% 95
CI; 39.55 ila 49.40] kontrol grubuna [% 95 CI; 26.55 ila 33.45]. QTDİS [% 95
CI; Vs 49.16 ila 62.28 39.28 ila 46.82] ve QTCDİS değerleri [% 95 CI; 54.22 ila
72.83'e karşılık 43,10-51,1739,28-46,82] kontrol gruplarına kıyasla inmeli
grupta istatistiksel olarak anlamlı bulundu.

Sonuç: Prognoz ve klinik
takipte inme grubunda kontrol grubuna göre uzamış olduğu saptanan Pdis, QTDIS
ve QTCDIS değerleri önemli parametreler olarak düşünülmelidir.

Keywords

İnme, P dalga dispersionu, QT-QTc dalga dispersiyonu

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