Effect of Nebivolol Treatment on P Dispersion in Hypertensive Cases

Yıl 2006, Cilt: 11 Sayı: 3, 154 - 159, 01.06.2006

Necati Daglı İlgın Karaca

Öz

Objectives: Hypertension is a important cardiovascular risk factors that promotes the development of atrial fibrillation (AF). Electrical heterogeneity and instability have been shown in the atrial conduction of hypertensive patients. P dispersion have been shown to be sensitive and specific noninvasive markers of atrial fibrillation. No study has been reported on the effect of Nebivolol on P dispersion. The objective of the present study is to Nebivolol treatment on the effect of P dispersion in hypertension of patient. Materials and Methods: The study included 65 patients (mean age 50.6±9.8; 31 males and 34 females) who were found to have essential hypertension. Biochemical parameters of all the patients in the study were analyzed, echocardiographies of all were taken and P dispersion was calculated in the ECG. All cases were put on 5 mg/day Nebivolol treatment. Biochemical parameter analyses, ECO and ECG were repeated in the 6th month. Results: Six-month Nebivolol treatment markedly reduced P dispersion and homogenized atrial myocardium, which provides a basis for atrial arrhythmias. ©2006, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler

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Hipertansif Olgularda Nebivolol Tedavisinin P Dispersiyonu Üzerine Etkisi

Öz

Amaç: Hipertansiyon atriyal fibrilasyon (AF) gelişimini artıran önemli kardiyovasküler risk faktörlerindendir. Hipertansif hastaların atriyal iletisinde, elektriksel heterojenite ve instabilite olduğu gösterilmiştir. P dispersiyonu atriyal fibrilasyonun sensitif ve spesifik non-invaziv belirteci olabileceği gösterilmiştir. Nebivolol'ün P dispersiyonu üzerine etkisini inceleyen çalışma bildirilmemiştir. Çalışmamızın amacı nebivolol tedavisinin P dispersiyonu üzerine etkilerini irdelemek idi. Gereç ve Yöntem: Bu çalışmaya esansiyel hipertansiyon saptanan 65 hasta (yaş ortalaması 50.6±9.8; 31 erkek; 34 kadın) alındı. Çalışmaya katılan tüm hastaların biyokimyasal parametreleri, ekokardiyografileri ve EKG'de P dispersiyonu hesaplandı. Tüm olgulara nebivolol 5 mgr/gün başlandı. Altıncı ay sonunda biyokimyasal parametreler, EKO ve EKG tekrarlandı. Bulgular: Olguların EKG'lerinde belirlenen bazal ve tedavi sonrası P dispersiyonu 55.3±6'dan 33.5±7'e (p=0.000) gerilemiştir. Bu olumlu klinik düzelme sol ventrikül diyastolik fonksiyonundaki düzelme ve kan basıncındaki azalma ile kolere olup, sol atriyum çapı ile kolere değildi. Sonuç: Altı aylık nebivolol tedavisi belirgin olarak P dispersiyonu azaltıp atriyal aritmilere zemin hazırlayan atriyal miyokardı homojen hale getirmiştir. ©2006, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler

P Dispersiyonu, Nebivolol, Hipertensiyon

Kaynakça

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• Kabul Tarihi: 05.04.2006