Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2022, Cilt: 25 Sayı: 2, 177 - 186, 20.08.2022

Öz

Kaynakça

  • 1. Zile M, Brutsaert D, New concepts in diastolic dysfunction and diastolic heart failure: Part I. Diagnosis, prognosis, and measurements of diastolic function. Circulation 2002;105:1387-93. [Crossref]
  • 2. Bhatia RS, Tu JV, Lee DS, Austin PC, Fang J, Haouzi A, et al. Outcome of heart failure with preserved ejection fraction in a population-based study. N Engl J Med 2006;355(3):260-9. [Crossref]
  • 3. Leite-Moreira AF, Correia-Pinto J, Gillebert TC. Diastolic dysfunction and hypertension. N Engl J Med 2001;344:1401-2. [Crossref]
  • 4. Labovitz A, Pearson A. Evaluation of left ventricular diastolic function:clinical relevance and recent electrocardiographic insights. Am Heart J 1987;114:836-51. [Crossref]
  • 5. Vasan RS, Levy D. Defining diastolic heart failure: a call for standardized diagnostic criteria. Circulation 2000;101(17):2118-21. [Crossref]
  • 6. Das MK, MaskounW, Shen C, Michael MA, Suradi H, Desai M, et al. Fragmented QRS on twelve-lead electrocardiogram predicts arrhythmic events in patientswith ischemicand non-ischemic cardiomyopathy. Hear Rhythm 2010;7:74-80. [Crossref]
  • 7. Dilaveris PE, Gialafos EJ, Sideris S, Theopistou AM, Andrikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998;135:733-8. [Crossref]
  • 8. Çağdaş M, Karakoyun S, Rencüzoğulları İ, Karabağ Y, Yesin M, Gürsoy MO, et al. P wave peak time; a novel electrocardiographic parameter in the assessment of coronary no-reflow. J Electrocardiol 2017;50:584-90. [Crossref]
  • 9. Nagueh SF, Smiseth OA, Appleton CP, Byrd 3rd BF, Dokainish H, Edvardsen T, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: An update from the American society of echocardiography and the European association of cardiovascular imaging. Eur Heart J Cardiovasc Imaging 2016;17:1321-60. [Crossref]
  • 10. Manolis AJ, Hamodraka ES, Poulimenos LE. Electrocardiography for the diagnosis of left ventricular hypertrophy: Revisiting an old friend in times of austerity. J Hypertens 2012;30:1325-7. [Crossref]
  • 11. Hill JA. Hypertrophic reprogramming of the left ventricle: Translation to the ECG. J Electrocardiol 2012;45:624-9. [Crossref]
  • 12. Bacharova L, Szathmary V, Kovalcik M, Mateasik A. Effect of changes in left ventricular anatomy and conduction velocity on the QRS voltage and morphology in left ventricular hypertrophy: A model study. J Electrocardiol 2010;43:200-8. [Crossref]
  • 13. Yesin M, Kalçık M, Çağdaş M, Karabağ Y, Rencüzoğulları İ, Gürsoy MO, et al. Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction. J Electrocardiol 2018;51:27-32. [Crossref]
  • 14. An WS, Lee SM, Park TH, Kim SE, Kim KH, Park YJ, et al. Association between diastolic dysfunction by color tissue doppler ımaging and vascular calcification on plain radiographs in dialysis patients. Kidney Blood Press Res 2012;35:619-26. [Crossref]
  • 15. Tsang TSM, Barnes ME, Gersh BJ, Bailey KR, Seward JB. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am J Cardiol 2002;90:1284-9. [Crossref]
  • 16. Ermis N, Acikgoz N, Cuglan B, Cansel M, Yagmur J, Tasolar H, et al. Comparison of atrial electromechanical coupling interval and P-wave dispersion in non-dipper versus dipper hypertensive subjects. Blood Press 2011;20(1):60-6. [Crossref]
  • 17. Galderisi M. Diagnosis and management of left ventricular diastolic dysfunction in the hypertensive patients. Am J Hypertens 2011;24:507-17. [Crossref]
  • 18. Dobrowolski P, Klisiewicz A, Prejbisz A, Florczak E, Rybicka J, Bieleń P, et al. Factors associated with diastolic dysfunction in patients with resistant hypertension: Resist-POL study. Am J Hypertens 2015;28:307-11. [Crossref]
  • 19. Hsu PC, Tsai WC, Lin TH, Su HM, Voon WC, Lai WT, et al. Association of arterial stiffness and electrocardiography-determined left ventricular hypertrophy with left ventricular diastolic dysfunction. PLoS One 2012;7(11):e49100. [Crossref]
  • 20. Krepp JM, Lin F, Min JK, Devereux RB, Okin PM. Relationship of electrocardiographic left ventricular hypertrophy to the presence of diastolic dysfunction. Ann Noninvasive Electrocardiol 2014;19:552-660. [Crossref]
  • 21. Wilcox JE, Rosenberg J, Vallakati A, Gheorghiade M, Shah SJ. Usefulness of electrocardiographic QT interval to predict left ventricular diastolic dysfunction. Am J Cardiol 2011;108:1760-6. [Crossref]
  • 22. Sodi-Pollares D, Bisteni A, Fishleder BL, Medrano GA. Importance of the unipolar morphologies in the interpretation of the electrocardiogram: The theoretical basis of the unipolar morphologies and its correlation with vectorial analysis, with cardiac activation, and with the potential variations at the epicardial surface of the heart. Am heart J 1959;57:590-605. [Crossref]
  • 23. Tsai WC, Lee KT, Wu MT, Chu CS, Lin TH, Hsu PC, et al. Significant correlation of P-wave parameters with left atrial volume index and left ventricular diastolic function. Am J Med Sci 2013;346:45-51. [Crossref]
  • 24. Tanoue MT, Kjeldsen SE, Devereux RB, Okin PM. Relationship between abnormal P-wave terminal force in lead V1 and left ventricular diastolic dysfunction in hypertensive patients: The LIFE study. Blood Press 2017;26:94-101. [Crossref]
  • 25. De Jong AM, Maass AH, Oberdorf-Maass SU, Van Veldhuisen DJ, Van Gilst WH, Van Gelder IC. Mechanisms of atrial structural changes caused by stretch occurring before and during early atrial fibrillation. Cardiovasc Res 2011;89:754-65. [Crossref]

The Relationship Between Electrocardiographic P Wave Parameters and Left Atrial Volume and Volume Indices in Patients with Hypertension

Yıl 2022, Cilt: 25 Sayı: 2, 177 - 186, 20.08.2022

Öz

Introduction: This study was designed to evaluate the relationship between left atrial volume index, which is an important indicator of left ventricular diastolic dysfunction, and electrocardiographic parameters such as P wave duration, P wave dispersion (PWDISP), P wave terminal force (PWTF), and P wave peak time (PWPT) in hypertensive patients.

Patients and Methods: A total of 58 patients with a diagnosis of hypertension between June 2017 and April 2018 were included in this retrospective study. Age-sex matched 58 healthy subjects constituted the control group. The patients without diastolic dysfunction and stage I diastolic dysfunction were included in the normal left atrial pressure (NLAP) group, while stage II and stage III diastolic dysfunction patients constituted the high left atrial pressure (HLAP) group.

Results: The PWDmax, PWDISP, and PWPT which are calculated from the lead DII (PWPTDII) were found to be longer in the group of hypertensive patients (p< 0.05, for all). Electrocardiographic parameters of PWDmax, PWDISP, PWTF, PWPTDII, and PWPTVI were found to be longer in patients with HLAP. Both PWPTVI (p= 0.008 r= 0.395) and PWPTDII (p< 0.001 r= 0.456) were significantly correlated with left atrial volume index.

Conclusion: In this study, the relationship between PWPT and diastolic dysfunction was revealed for the first time in the literature. In addition, the PWPT was found to be increased in patients with increased left atrial pressure (LAP). Our findings deserve attention because electrocardiography is an inexpensive and easily accessible diagnostic method that can be used to detect diastolic dysfunction in hypertensive patients.

Kaynakça

  • 1. Zile M, Brutsaert D, New concepts in diastolic dysfunction and diastolic heart failure: Part I. Diagnosis, prognosis, and measurements of diastolic function. Circulation 2002;105:1387-93. [Crossref]
  • 2. Bhatia RS, Tu JV, Lee DS, Austin PC, Fang J, Haouzi A, et al. Outcome of heart failure with preserved ejection fraction in a population-based study. N Engl J Med 2006;355(3):260-9. [Crossref]
  • 3. Leite-Moreira AF, Correia-Pinto J, Gillebert TC. Diastolic dysfunction and hypertension. N Engl J Med 2001;344:1401-2. [Crossref]
  • 4. Labovitz A, Pearson A. Evaluation of left ventricular diastolic function:clinical relevance and recent electrocardiographic insights. Am Heart J 1987;114:836-51. [Crossref]
  • 5. Vasan RS, Levy D. Defining diastolic heart failure: a call for standardized diagnostic criteria. Circulation 2000;101(17):2118-21. [Crossref]
  • 6. Das MK, MaskounW, Shen C, Michael MA, Suradi H, Desai M, et al. Fragmented QRS on twelve-lead electrocardiogram predicts arrhythmic events in patientswith ischemicand non-ischemic cardiomyopathy. Hear Rhythm 2010;7:74-80. [Crossref]
  • 7. Dilaveris PE, Gialafos EJ, Sideris S, Theopistou AM, Andrikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998;135:733-8. [Crossref]
  • 8. Çağdaş M, Karakoyun S, Rencüzoğulları İ, Karabağ Y, Yesin M, Gürsoy MO, et al. P wave peak time; a novel electrocardiographic parameter in the assessment of coronary no-reflow. J Electrocardiol 2017;50:584-90. [Crossref]
  • 9. Nagueh SF, Smiseth OA, Appleton CP, Byrd 3rd BF, Dokainish H, Edvardsen T, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: An update from the American society of echocardiography and the European association of cardiovascular imaging. Eur Heart J Cardiovasc Imaging 2016;17:1321-60. [Crossref]
  • 10. Manolis AJ, Hamodraka ES, Poulimenos LE. Electrocardiography for the diagnosis of left ventricular hypertrophy: Revisiting an old friend in times of austerity. J Hypertens 2012;30:1325-7. [Crossref]
  • 11. Hill JA. Hypertrophic reprogramming of the left ventricle: Translation to the ECG. J Electrocardiol 2012;45:624-9. [Crossref]
  • 12. Bacharova L, Szathmary V, Kovalcik M, Mateasik A. Effect of changes in left ventricular anatomy and conduction velocity on the QRS voltage and morphology in left ventricular hypertrophy: A model study. J Electrocardiol 2010;43:200-8. [Crossref]
  • 13. Yesin M, Kalçık M, Çağdaş M, Karabağ Y, Rencüzoğulları İ, Gürsoy MO, et al. Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction. J Electrocardiol 2018;51:27-32. [Crossref]
  • 14. An WS, Lee SM, Park TH, Kim SE, Kim KH, Park YJ, et al. Association between diastolic dysfunction by color tissue doppler ımaging and vascular calcification on plain radiographs in dialysis patients. Kidney Blood Press Res 2012;35:619-26. [Crossref]
  • 15. Tsang TSM, Barnes ME, Gersh BJ, Bailey KR, Seward JB. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am J Cardiol 2002;90:1284-9. [Crossref]
  • 16. Ermis N, Acikgoz N, Cuglan B, Cansel M, Yagmur J, Tasolar H, et al. Comparison of atrial electromechanical coupling interval and P-wave dispersion in non-dipper versus dipper hypertensive subjects. Blood Press 2011;20(1):60-6. [Crossref]
  • 17. Galderisi M. Diagnosis and management of left ventricular diastolic dysfunction in the hypertensive patients. Am J Hypertens 2011;24:507-17. [Crossref]
  • 18. Dobrowolski P, Klisiewicz A, Prejbisz A, Florczak E, Rybicka J, Bieleń P, et al. Factors associated with diastolic dysfunction in patients with resistant hypertension: Resist-POL study. Am J Hypertens 2015;28:307-11. [Crossref]
  • 19. Hsu PC, Tsai WC, Lin TH, Su HM, Voon WC, Lai WT, et al. Association of arterial stiffness and electrocardiography-determined left ventricular hypertrophy with left ventricular diastolic dysfunction. PLoS One 2012;7(11):e49100. [Crossref]
  • 20. Krepp JM, Lin F, Min JK, Devereux RB, Okin PM. Relationship of electrocardiographic left ventricular hypertrophy to the presence of diastolic dysfunction. Ann Noninvasive Electrocardiol 2014;19:552-660. [Crossref]
  • 21. Wilcox JE, Rosenberg J, Vallakati A, Gheorghiade M, Shah SJ. Usefulness of electrocardiographic QT interval to predict left ventricular diastolic dysfunction. Am J Cardiol 2011;108:1760-6. [Crossref]
  • 22. Sodi-Pollares D, Bisteni A, Fishleder BL, Medrano GA. Importance of the unipolar morphologies in the interpretation of the electrocardiogram: The theoretical basis of the unipolar morphologies and its correlation with vectorial analysis, with cardiac activation, and with the potential variations at the epicardial surface of the heart. Am heart J 1959;57:590-605. [Crossref]
  • 23. Tsai WC, Lee KT, Wu MT, Chu CS, Lin TH, Hsu PC, et al. Significant correlation of P-wave parameters with left atrial volume index and left ventricular diastolic function. Am J Med Sci 2013;346:45-51. [Crossref]
  • 24. Tanoue MT, Kjeldsen SE, Devereux RB, Okin PM. Relationship between abnormal P-wave terminal force in lead V1 and left ventricular diastolic dysfunction in hypertensive patients: The LIFE study. Blood Press 2017;26:94-101. [Crossref]
  • 25. De Jong AM, Maass AH, Oberdorf-Maass SU, Van Veldhuisen DJ, Van Gilst WH, Van Gelder IC. Mechanisms of atrial structural changes caused by stretch occurring before and during early atrial fibrillation. Cardiovasc Res 2011;89:754-65. [Crossref]
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Orijinal Araştırmalar
Yazarlar

İnanç Artaç Bu kişi benim 0000-0003-2694-8978

Bahattin Balcı Bu kişi benim 0000-0002-6909-1815

Serdar Sevimli Bu kişi benim 0000-0003-2360-3472

Ahmet Karakurt Bu kişi benim 0000-0001-8877-100X

İbrahim Rencüzoğulları Bu kişi benim 0000-0002-0070-9197

Metin Çağdaş Bu kişi benim 0000-0001-6704-9886

Yavuz Karabağ Bu kişi benim 0000-0002-8156-315X

Doğan İliş Bu kişi benim 0000-0002-1871-5157

Yayımlanma Tarihi 20 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 25 Sayı: 2

Kaynak Göster

Vancouver Artaç İ, Balcı B, Sevimli S, Karakurt A, Rencüzoğulları İ, Çağdaş M, Karabağ Y, İliş D. The Relationship Between Electrocardiographic P Wave Parameters and Left Atrial Volume and Volume Indices in Patients with Hypertension. Koşuyolu Heart Journal. 2022;25(2):177-86.