Effect of reperfusion on P-wave duration and P-wave dispersion in acute myocardial infarction: Primary angioplasty versus thrombolytic therapy

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dc.authorscopusid6701406385
dc.authorscopusid8615642100
dc.authorscopusid56259906200
dc.authorscopusid6603839772
dc.authorscopusid7007162316
dc.authorscopusid6603199651
dc.authorscopusid7003992013
dc.contributor.authorAkdemir, Ramazan
dc.contributor.authorÖzhan, Hakan
dc.contributor.authorGündüz, Hüseyin
dc.contributor.authorTamer, Ali
dc.contributor.authorYazici, Mehmet
dc.contributor.authorErbilen, Enver
dc.contributor.authorAlbayrak, Sinan
dc.date.accessioned2024-09-25T19:43:08Z
dc.date.available2024-09-25T19:43:08Z
dc.date.issued2004
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractAtrial fibrillation is a common arrhythmia occurring in about 10-20% of patients with acute myocardial infarction. P-wave dispersion and P-wave duration have been used to evaluate the discontinuous propagation of sinus impulse and the prolongation of atrial conduction time respectively. This study was conducted to compare the effects of reperfusion either by thrombolytic therapy or primary angioplasty on P wave duration and dispersion in patients with acute anterior wall myocardial infarction. We have retrospectively evaluated 72 consecutive patients (24 women, 48 men; aged 58 ±12 years) experiencing a first acute anterior wall myocardial infarction (AMI). Patients were grouped according to the reperfusion therapy received (primary angioplasty (PTCA) versus thrombolytic therapy). Left atrial diameter and left ventricular ejection fraction (LVEF) were determined by echocardiography in all patients. Electrocardiography was recorded from all patients on admission and on pach day of hospitalization. Maximum (P max) and minimum (P min) P wave durations and P wave dispersions (PWd) were calculated before and after treatment. There were no significant differences between the groups regarding age, gender, left ventricular ejection fraction (LVEF), left atrial diameter and volume, cardiovascular risk factors and duration from symptom onset to treatment. PWd and P wave durations were significantly reduced after PTCA (mean P max was 113±11 ms before and 95±17ms after the treatment [p=0.007]. Mean PWd was 46±12 ms before and 29±10 ms after the treatment (p=0.001). Also, P max and PWd were significantly lower in PTCA group (for P max 97±22 ms versus 114±16 ms and for PWd 31±13 ms versus 55±5 ms, respectively). Primary angioplasty reduces P max and P wave dispersion.en_US
dc.identifier.endpage308en_US
dc.identifier.issn1016-5169
dc.identifier.issue5en_US
dc.identifier.scopus2-s2.0-39749123826en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage302en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12463
dc.identifier.volume32en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectP wave dispersionen_US
dc.subjectP wave durationen_US
dc.subjectPrimary angioplastyen_US
dc.titleEffect of reperfusion on P-wave duration and P-wave dispersion in acute myocardial infarction: Primary angioplasty versus thrombolytic therapyen_US
dc.typeArticleen_US

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