Atrial electromechanical delay and p wave dispersion associated with severity of chronic obstructive pulmonary disease


Creative Commons License

Celik Y., Yildirim N., DEMİR V., Alp C., Sahin O., DOĞRU M. T.

AFRICAN HEALTH SCIENCES, cilt.21, sa.1, ss.140-149, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.4314/ahs.v21i1.19
  • Dergi Adı: AFRICAN HEALTH SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, Index Islamicus, MEDLINE, Pollution Abstracts, Veterinary Science Database
  • Sayfa Sayıları: ss.140-149
  • Anahtar Kelimeler: Atrial eletromechanical delay, chronic obstructive pulmonary disease, P wave dispersion, COUPLING INTERVAL, FIBRILLATION, ECHOCARDIOGRAPHY, HYPERTENSION, PREDICTION, GUIDELINES, MANAGEMENT, SEQUENCE, SOCIETY, RISK
  • Yozgat Bozok Üniversitesi Adresli: Evet

Özet

Background: The aim of this study was to evaluate atrial electromechanical delay (AEMD) with both electrocardiography (ECG) and echocardiography in patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: Total of 110 patients were included in this cross-sectional case-control study. P-wave dispersion (PWD) was measured on a 12-lead ECG. Atrial electromechanical intervals (PA) were measured as the time interval between the onset of the P wave on the ECG and the beginning of the late diastolic A wave. Results: PWD was found to be 40.9 +/- 9.2 ms in the healthy control group, 45.6 +/- 8.2 ms in the mild COPD and 44.8 +/- 8.7 ms in the severe COPD group (p<0.05). Intra-right atrial EMD was found to be 10.7 +/- 5.8 ms in mild COPD, 11.0 +/- 7 ms in severe COPD, and it was 16.4 +/- 7.3 ms in healthy control group (p<0.001). Interatrial EMD was detected to be 29.5 +/- 9.1 ms in the control group, 24.1 +/- 9 ms in mild COPD group, and 23.9 +/- 11.1 ms in the severe COPD group (p<0.001). Conclusion: Both mild and severe COPD groups decreased PWD, increased tricuspid PA and significantly decreased inter and right intra-AEMD times in comparison to the control group.