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Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy

Yıl 2019, Cilt: 5 Sayı: 3, 273 - 282, 01.09.2019

Öz

ABSTRACT



Background: Aim of this study is to determine the impact of atrial septal aneurysm on atrial
electrophysiology in pregnancy by the investigation of P-wave duration and
P-wave dispersion on electrocardiography.



Method: This study
include
s 98 pregnant
w
omen, divided in two groups according to presence
of atrial septal aneurysm (ASA)
(n=48 ASA
positive group, n=50 ASA negative group)
. P-wave
dispersion was calculated by using the 12-lead electrocardiogram
with a speed of
50
mm/sec for each participant. Cardiac functions and morphology of the aneurysm were
measured using conventional echocardiography.
ASA was defined if the excursion of the septum primum
into the left/right atriums exceeded 10 mm or the total excursion distance was
more than 15 mm.



Results: Demographic
and clinical findings were similar between ASA positive group and ASA negative
group, there was no significant difference.
Compared to the ASA
negative group, pregnant women with ASA showed significantly longer maximum P
wave dispersion (PWD) (54.10±12.42 ms vs. 37,42±14,27 ms , p = 0.0001
). Similarly,
the maximum duration of the P wave
(Pmax) in the ASA
positive group was significantly longer
than the ASA negative group (118,35±11,41 ms vs.
110,54±9,452 ms , p=0,0004).
P wave
dispersion
and Pmax were not correlated with
age, gravida, parity, gestational week,
body mass
index or M mode Echocardiographic parameters.



Discussion: In this study, it was shown
that P-wave dispersion is prolonged in pregnant women with atrial septal
aneurysm.
PWD may be a pre-determinative for atrial structural
anomalies or atrial arrhythmias in pregnancy and this non invasive method
should be used to predict cardiac risk at the beginning of pregnancy.




Kaynakça

  • REFERENCES: 1. Hanley PC, Tajik AJ, Hynes JK, Edwards WD, Reeder GS, Hagler DJ, et al. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol. 1985;6(6):1370-82. 2. Katayama H, Mitamura H, Mitani K, Nakagawa S, Ui S, Kimura M. Incidence of atrial septal aneurysm: echocardiographic and pathologic analysis. J Cardiol. 1990. 20(2): p. 411-21. 3. Silver, M.D. and J.S. Dorsey. Aneurysms of the septum primum in adults. Arch Pathol Lab Med. 1978. 102(2): p. 62-5. 579965 4. Bakalli A, Kamberi L, Pllana E, Gashi A. Atrial septal aneurysm associated with additional cardiovascular comorbidities in two middle age female patients with ECG signs of right bundle branch block: two case reports. Cases J. 2008 Jul 19;1(1):51 5. Ong LS, Nanda NC, Falkoff MD, Barold SS. Interatrial septum aneurysm, systolic click and atrial tachyarrhythmia’s-a new syndrome?. Ultrasound Biol. 1982;8:691-3 6. Chen Y, Mou Y, Jiang LJ, Hu SJ. Congenital giant left atrial appendage aneurysm: a case report. J Cardiothorac Surg. 2017 Mar 16;12(1):15 7. Clapp, J.F., 3rd and E. Capeless. Cardiovascular function before, during, and after the first and subsequent pregnancies. Am J Cardiol. 1997. 80(11): p. 1469-73. 8. Dilaveris PE, Gialafos EJ, Sideris SK, Theopistou AM, Andikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J. 1998. 135(5 Pt 1): p. 733-8.
  • 9. Centurion OA. Clinical implications of the P wave duration and dispersion: relationship between atrial conduction defects and abnormally prolonged and fractionated atrial endocardial electrograms. Int J Cardiol. 2009. 134(1): p. 6-8. 10. Campos O. Doppler echocardiography during pregnancy: Physiological and abnormal findings. Echocardiography 1996; 13: 135–46. 11. Thomas Adam Burkart, William M. Miles, Jamie Beth Conti. Principles of Arrhythmia Management During Pregnancy. Cardiovascular Innovations and Applications Vol. 1 No. 2 (2016) 143–155. 12. Hameed AB, Lawton ES, McCain CL, Morton CH, Mitchell C, Main EK, et al. Pregnancy-related cardiovascular deaths in California: beyond peripartum cardiomyopathy. Am J Obstet Gynecol. 2015;213(3):379 e1-10.]. 13. Deveci OS, Aytemir K, Okutucu S, Tulumen E, Aksoy H, Kaya EB, et al. Evaluation of the relationship between atrial septal aneurysm and cardiac arrhythmias via P-wave dispersion and signal-averaged P-wave duration. Ann Noninvasive Electrocardiol. 2010 Apr;15(2):157-64. 14. Russo V, Rago A, Di Meo F, Papa AA, Ciardiello C, Cristiano A, et al. Atrial Septal Aneurysms and Supraventricular Arrhythmias: The Role of Atrial Electromechanical Delay. Echocardiography. 2015 Oct;32(10):1504-14. 15. Morelli S, Voci P, Morabito G, Sgreccia A, De Marzio P, Giordano M. Atrial septal aneurysm and cardiac arrhythmias. International Journal of Cardiology 1995 May;49(3):257-65. 16. Janion M, Kurzawski J. Atrial fibrillation in patients with atrial septal aneurysm. Cardiol J. 2007;14(6):580-4.
Yıl 2019, Cilt: 5 Sayı: 3, 273 - 282, 01.09.2019

Öz

Kaynakça

  • REFERENCES: 1. Hanley PC, Tajik AJ, Hynes JK, Edwards WD, Reeder GS, Hagler DJ, et al. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol. 1985;6(6):1370-82. 2. Katayama H, Mitamura H, Mitani K, Nakagawa S, Ui S, Kimura M. Incidence of atrial septal aneurysm: echocardiographic and pathologic analysis. J Cardiol. 1990. 20(2): p. 411-21. 3. Silver, M.D. and J.S. Dorsey. Aneurysms of the septum primum in adults. Arch Pathol Lab Med. 1978. 102(2): p. 62-5. 579965 4. Bakalli A, Kamberi L, Pllana E, Gashi A. Atrial septal aneurysm associated with additional cardiovascular comorbidities in two middle age female patients with ECG signs of right bundle branch block: two case reports. Cases J. 2008 Jul 19;1(1):51 5. Ong LS, Nanda NC, Falkoff MD, Barold SS. Interatrial septum aneurysm, systolic click and atrial tachyarrhythmia’s-a new syndrome?. Ultrasound Biol. 1982;8:691-3 6. Chen Y, Mou Y, Jiang LJ, Hu SJ. Congenital giant left atrial appendage aneurysm: a case report. J Cardiothorac Surg. 2017 Mar 16;12(1):15 7. Clapp, J.F., 3rd and E. Capeless. Cardiovascular function before, during, and after the first and subsequent pregnancies. Am J Cardiol. 1997. 80(11): p. 1469-73. 8. Dilaveris PE, Gialafos EJ, Sideris SK, Theopistou AM, Andikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J. 1998. 135(5 Pt 1): p. 733-8.
  • 9. Centurion OA. Clinical implications of the P wave duration and dispersion: relationship between atrial conduction defects and abnormally prolonged and fractionated atrial endocardial electrograms. Int J Cardiol. 2009. 134(1): p. 6-8. 10. Campos O. Doppler echocardiography during pregnancy: Physiological and abnormal findings. Echocardiography 1996; 13: 135–46. 11. Thomas Adam Burkart, William M. Miles, Jamie Beth Conti. Principles of Arrhythmia Management During Pregnancy. Cardiovascular Innovations and Applications Vol. 1 No. 2 (2016) 143–155. 12. Hameed AB, Lawton ES, McCain CL, Morton CH, Mitchell C, Main EK, et al. Pregnancy-related cardiovascular deaths in California: beyond peripartum cardiomyopathy. Am J Obstet Gynecol. 2015;213(3):379 e1-10.]. 13. Deveci OS, Aytemir K, Okutucu S, Tulumen E, Aksoy H, Kaya EB, et al. Evaluation of the relationship between atrial septal aneurysm and cardiac arrhythmias via P-wave dispersion and signal-averaged P-wave duration. Ann Noninvasive Electrocardiol. 2010 Apr;15(2):157-64. 14. Russo V, Rago A, Di Meo F, Papa AA, Ciardiello C, Cristiano A, et al. Atrial Septal Aneurysms and Supraventricular Arrhythmias: The Role of Atrial Electromechanical Delay. Echocardiography. 2015 Oct;32(10):1504-14. 15. Morelli S, Voci P, Morabito G, Sgreccia A, De Marzio P, Giordano M. Atrial septal aneurysm and cardiac arrhythmias. International Journal of Cardiology 1995 May;49(3):257-65. 16. Janion M, Kurzawski J. Atrial fibrillation in patients with atrial septal aneurysm. Cardiol J. 2007;14(6):580-4.
Toplam 2 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Veciha Özlem Bozkaya

Yayımlanma Tarihi 1 Eylül 2019
Gönderilme Tarihi 24 Nisan 2019
Kabul Tarihi 9 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 5 Sayı: 3

Kaynak Göster

APA Bozkaya, V. Ö. (2019). Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy. Journal of Human Rhythm, 5(3), 273-282.
AMA Bozkaya VÖ. Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy. Journal of Human Rhythm. Eylül 2019;5(3):273-282.
Chicago Bozkaya, Veciha Özlem. “Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy”. Journal of Human Rhythm 5, sy. 3 (Eylül 2019): 273-82.
EndNote Bozkaya VÖ (01 Eylül 2019) Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy. Journal of Human Rhythm 5 3 273–282.
IEEE V. Ö. Bozkaya, “Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy”, Journal of Human Rhythm, c. 5, sy. 3, ss. 273–282, 2019.
ISNAD Bozkaya, Veciha Özlem. “Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy”. Journal of Human Rhythm 5/3 (Eylül 2019), 273-282.
JAMA Bozkaya VÖ. Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy. Journal of Human Rhythm. 2019;5:273–282.
MLA Bozkaya, Veciha Özlem. “Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy”. Journal of Human Rhythm, c. 5, sy. 3, 2019, ss. 273-82.
Vancouver Bozkaya VÖ. Investıgatıon Of The Relatıonshıp Between P Wave Dıspersıon And Atrıal Septal Aneurysm In Pregnancy. Journal of Human Rhythm. 2019;5(3):273-82.