Assessment of atrial conduction time and P-wave dispersion in patients with gestational diabetes mellitus

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dc.authorid0000-0001-7458-9135en_US
dc.authorid0000-0003-2399-9585en_US
dc.authorid0000-0003-3817-851Xen_US
dc.authorid0000-0002-2176-7863en_US
dc.contributor.authorKök, Zafer
dc.contributor.authorSincer, İsa
dc.contributor.authorGüneş, Yılmaz
dc.contributor.authorUraI, Ülkü Mete
dc.date.accessioned2023-09-15T10:00:23Z
dc.date.available2023-09-15T10:00:23Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractObjectives We aimed to assess atrial conduction time and P-wave dispersion (PWD) in gestational diabetes mellitus (GDM) patients. Methods Thirty patients with GDM and 30 healthy pregnant women were included to the study. Atrial conduction times (PA) were calculated by the time interval from the onset of the P wave on the electrocardiography (ECG) to the onset of the late diastolic flow (Am wave) on echocardiography and from the lateral mitral annulus (PA lateral), septal mitral annulus (PA septum), and right ventricular tricuspid annulus (PA tricuspid). The difference between (PA lateral-PA tricuspid) was defined as interatrial electromechanical delay (EMD); the difference between (PA septum-PA tricuspid) as intra-atrial EMD; and the difference between (PA lateral-PA septal) as intraleft atrial EMD. Results Mean PWD was higher in GDM (52.7 +/- 5.1 ms vs. 28.9 +/- 4.2 ms, p < 0.001). PA lateral, PA septal and PA tricuspid were significantly higher in the GDM patients compared to the control group (65.7 +/- 4.2 ms vs. 47.7 +/- 4.7 ms, p < 0.001; 56.1 +/- 3.4 ms vs. 40.8 +/- 3.7 ms, p < 0.001 and 48.4 +/- 3.9 ms vs. 36.0 +/- 3.6 ms, p < 0.001, respectively). Interatrial, intra-atrial, and intraleft atrial EMDs were also significantly higher in the GDM group (median values: 18 ms vs. 12 ms; 10 ms vs 7.5 ms; 8 ms vs. 4 ms, respectively, p < 0.001 for all). There was a positive correlation between intra-atrial delay time and PWD in GDM group (r = 0.39, p = 0.033). Conclusion We suggest that patients with GDM have higher PWD and higher atrial conduction and EMD times compared to otherwise healthy pregnant control group.en_US
dc.identifier.citationKok, Z., Sincer, I., Günes, Y., & Ural, U. M. (2022). Assessment of atrial conduction time and P-wave dispersion in patients with gestational diabetes mellitus. International Journal of Diabetes in Developing Countries, 1-6.en_US
dc.identifier.doi10.1007/s13410-022-01136-6
dc.identifier.endpage543en_US
dc.identifier.issn0973-3930
dc.identifier.issn1998-3832
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85139685313en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage538en_US
dc.identifier.urihttp://dx.doi.org/10.1007/s13410-022-01136-6
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11705
dc.identifier.volume43en_US
dc.identifier.wosWOS:000865675300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorSincer, İsa
dc.institutionauthorGüneş, Yılmaz
dc.institutionauthorUraI, Ülkü Mete
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofInternational Journal of Diabetes in Developing Countriesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGestational Diabetes Mellitusen_US
dc.subjectAtrial Conduction Timeen_US
dc.subjectP-Wave Dispersionen_US
dc.subjectElectromechanical Delayen_US
dc.subjectInsulin-Resistanceen_US
dc.subjectPregnancyen_US
dc.titleAssessment of atrial conduction time and P-wave dispersion in patients with gestational diabetes mellitusen_US
dc.typeArticleen_US

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