Current issue
Archive
About the Journal
About us
Aims and Scope
Indexing and Abstracting
Editorial Office
Open Access Policy
Publication Ethics
Contact
For Authors
Editorial Policy
Peer Review Policy
Manuscript Preparation Guidelines
Copyright & Licensing
Publication Fees
Fast-Track Paper Publication Option
Conflict Interest Guidance
Submit an Article
Special Issues
News & Editorials
“Fake,” “Predatory,” and “Pseudo” Journals: Charlatans Threatening Trust in Science
Shifting the Journal submission-review system to the Editorial System Manuscript December 27, 2017.
ORIGINAL ARTICLE
Value of P wave dispersion in pediatric patients with secundum atrial septal defect
1
Pediatric Department, School of Medicine, Faculty of Medical Science, Sulaimani University, Sulaimanyah , Kurdistan Region, Iraq
2
Sulaimani Pediatric Teaching hospital, Sulaimanyah, Kurdistan Region, Iraq
Online publication date: 2019-12-25
Publication date: 2019-12-25
Electron J Gen Med 2019;16(6):em173
KEYWORDS
ABSTRACT
Objective:
Ostium secundum defect is the common cause of RA enlargement. The aim in this study is to evaluate P wave dispersion in children to the size of atrial septal defect.
Method:
Forty–one children with isolated secundum atrial septal defect (and 41 age-matched controls evaluated. Using the same 12 lead ECG device in resting position, P maximum and P dispersion measured.
Results:
Mean P dispersion in atrial septal defect children is prolonged compare to the controls (P dispersion: 29.1±10.1 vs. 25.3±5.5 ms, P=0.009). And children with right atrial dilation had significantly longer P maximum (101.2±14.1 vs. 81.7±12.3 ms, P<0.001) and larger P dispersion (35.0±11.4 vs. 26.5±8.3 ms, P=0.003) compared to those without right atrial dilation.
Conclusion:
Children with moderate to large sized ASD are valuable to have prolonged. Atrial conduction time in the form of P duration and P dispersion. Also, it’s a good tool for diagnosing ASD in places where echocardiography imaging is not available. We can also differentiate between small ASD and large one based on P dispersion.
Ostium secundum defect is the common cause of RA enlargement. The aim in this study is to evaluate P wave dispersion in children to the size of atrial septal defect.
Method:
Forty–one children with isolated secundum atrial septal defect (and 41 age-matched controls evaluated. Using the same 12 lead ECG device in resting position, P maximum and P dispersion measured.
Results:
Mean P dispersion in atrial septal defect children is prolonged compare to the controls (P dispersion: 29.1±10.1 vs. 25.3±5.5 ms, P=0.009). And children with right atrial dilation had significantly longer P maximum (101.2±14.1 vs. 81.7±12.3 ms, P<0.001) and larger P dispersion (35.0±11.4 vs. 26.5±8.3 ms, P=0.003) compared to those without right atrial dilation.
Conclusion:
Children with moderate to large sized ASD are valuable to have prolonged. Atrial conduction time in the form of P duration and P dispersion. Also, it’s a good tool for diagnosing ASD in places where echocardiography imaging is not available. We can also differentiate between small ASD and large one based on P dispersion.
REFERENCES (29)
1.
Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am CollCardiol, 2002;39:1890-900. https://doi.org/10.1016/S0735-....
2.
Gatzoulis MA, Freeman MA, Siu SC, Webb GD, Harris L. Atrial arrhythmia after surgical closure of atrial septal defects in adults. N Engl J Med, 1999;340:839-46. https://doi.org/10.1056/NEJM19... PMid:10080846.
3.
Konstantinides S, Geibel A, Kasper W, Just H. The natural course of atrial septal defect in adults—a still unsettled issue. KlinWochenschr, 1991;69:506-10. https://doi.org/10.1007/BF0164... PMid:1921234.
4.
Paolillo V, Dawkins KD, Miller GA. Atrial septal defect in patients over the age of 50. Int J Cardiol, 1985;9:139-47. https://doi.org/10.1016/0167-5....
5.
deLezo JS, Medina A, Romero M. Effectiveness of percutaneous device occlusion for atrial septal defect in adult patients with pulmonary hypertension. Am Heart J, 2002;144:877-80. https://doi.org/10.1067/mhj.20... PMid:12422159.
6.
Konstam MA, Idoine J, Wynne J. Right ventricular function with pulmonary hypertension with and without atrial septal defect. Am J Cardiol, 1983;51:1144-8. https://doi.org/10.1016/0002-9....
7.
Arrington CB, Tani LY, Minich LL, Bradley DJ. An assessment of the electrocardiogram as a screening test for large atrial septal defects in children. J Electrocardiol., 2007 Nov-Dec.;40(6):484-8. https://doi.org/10.1016/j.jele... PMid:17673249.
8.
Steinberg JS, Zelenkofske S, Wong SC, et al. Value of the P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation, 1993;88:2618-222. https://doi.org/10.1161/01.CIR... PMid:8252672.
9.
Villani GQ, Piepoli M, Cripps T, et al. Atrial late potentials in patients with paroxysmal atrial fibrillation detected using a high gain, signal-averaged esophageal lead. PACE, 1994;17:1118-23. https://doi.org/10.1111/j.1540... PMid:7521037.
10.
Klein M, Evans SJL, Blumberg S. Use of P-wave- triggered, P-wave signal-averaged electrocardiogram to predict atrial fibrillation after coronary artery bypass surgery. Am Heart J, 1995;129:895-901. https://doi.org/10.1016/0002-8....
11.
Kubara I, Ikeda H, Hiraki T. Dispersion of filtered P wave duration by P wave signal-averaged ECG mapping system: Its usefulness for determining efficacy of disopyramide on paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol, 1999;10:670-79. https://doi.org/10.1111/j.1540... PMid:10355923.
12.
Yamada T, Fukunami M, Shimonagata T. Dispersion of signal-averaged P wave duration on precordial body surface in patients with paroxysmal atrial fibrillation. Eur Heart J, 1999;20:211-20. https://doi.org/10.1053/euhj.1... PMid:10082154.
13.
Villani GQ, Piepoli M, Rosi A. P-wave dispersion index: A marker of patients with paroxysmal atrial fibrillation. Int J Cardiol, 1996;55:169-75.
14.
Chang CM, Lee SH, Lu MJ. The role of P wave in prediction of atrial fibrillation after coronary artery surgery. Int J Cardiol, 1999;68:303-8. https://doi.org/10.1016/S0167-....
15.
Dilaveris PE, Gialafos EJ, Andrikopoulos GK. Clinical and electrocardiographic: predictors of recurrent atrial fibrillation. Pacing Clin Electrophysiol, 2000;23:352-8. https://doi.org/10.1111/j.1540... PMid:10750136.
16.
Josephson ME, Kaster JA, Morganroth J. Electrocardio- graphic left atrial enlargement: electrophysiologic, echocardiographic, and hemodynamic correlates. Am J Cardiol, 1977;39:967-71. https://doi.org/10.1016/S0002-....
17.
Stafford PJ, Turner I, Vincent R. Quantitative analysis of signal-averaged P waves in idiopathic paroxysmal atrial fibrillation. Am J Cardiol, 1991;68:1662-8. https://doi.org/10.1016/0002-9....
18.
Dilaveris PE, Gialafos EJ, Sideris SK. Simple electro- cardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J, 1998;135(5 Pt 1):733-8. https://doi.org/10.1016/S0002-....
19.
Vick GW 111. Defects of the Atrial Septum, Including the Atrioventricular Septa1 Defects. In: Garson A J r , Bricker TJ, Fisher DJ, et al. The Science and Practice of Pediatric Cardiology, 1997, pp. 1023-1051.
20.
Rrandenburg RO Jr, Holmes DR Jr, Brandenburg RO.Clinical follow-up study of paroxysmal supraventriculartachyarrhythmias after operative repair of a secundum typeatrial septa1 defect in adults. Am J Cardiol, 1983;51:273-6. https://doi.org/10.1016/S0002-....
21.
Boelkens MT. Dysrhythmias after atrial surgery in children. Am Heart J, 1982;106:125-30. https://doi.org/10.1016/0002-8....
22.
Chen YJ, Chen SA, Tai CT. Electrophysiologic characteristics of a dilated atrium in patients with paroxysmalatrial fibrillation and atrial flutter. J Interv Card Electrophysiol, 1998;Z:181-6.
23.
Bland JM, Altman DG. Statistical methods for assessing Agreement between two methods of clinical measurement. Lancet, 1986;i:307-10. https://doi.org/10.1016/S0140-....
24.
Tanigawa M, Fukatani M, Konoe A. prolonged and fractionated electrocardiograms during sinus rhythm in patients with paroxysmal atrial fibrillation and sick sinus node syndrome. J Am Coll Cardiol, 1991;17:403. https://doi.org/10.1016/S0735-....
25.
Niwano S, Aizawa Y. Fragmented atrial activity in patients with transient atrial fibrillation. Am Heart J 1991;12:62. https://doi.org/10.1016/0002-8....
26.
MIsier ARR, Opthof T, van NM. Increased dispersion of “refractoriness” in patients with idiopathic paroxysmal atrial fibrillation. J Am CollCardiol, 1992;19:1531. https://doi.org/10.1016/0735-1....
27.
Allessie M, Kirchhof C. Termination of Atrial Fibrillation by Class Ic Antiarrhythmic Drugs, a Paradox? In: Kingma JH, van Heme1 NM, Lie KI (eds):Atrial Fibrillation: A Treatable Disease? Boston, Kluwer, 1992. p. 265. https://doi.org/10.1007/978-94....
28.
Ho TF, Chia EL, Yip WC-L, Chan KY. Analysis of P wave and P dispersion in children with Secundum Atrial septal defect. National University of Singapore A.N.E October 2001;6(4). https://doi.org/10.1111/j.1542... PMid:11686911.
29.
Guray U, Guray Y, Yilmaz MB. Evaluation of P wave duration and P wave disperation in adult patients with secundum atrial septal defect during sinus rhythm. International journal of cardiolog.
| eISSN: | 2516-3507 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
