A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation
This study compared P-wave duration and dispersion (PD) in patients with short-term (≤48 hours) and long-term (>48 hours) atrial fibrillation (AF) after cardioversion. We studied 96 consecutive patients with short-term (group A; n:51, age: 61 ± 11 years) and long-term AF (group B; n:45, age: 64 ±...
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| Veröffentlicht in: | Journal of electrocardiology 2003-07, Vol.36 (3), p.251-255 |
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| creator | Dogan, Abdullah Acar, Gurkan Gedikli, Omer Ozaydin, Mehmet Nazli, Cem Altinbas, Ahmet Ergene, Oktay |
| description | This study compared P-wave duration and dispersion (PD) in patients with short-term (≤48 hours) and long-term (>48 hours) atrial fibrillation (AF) after cardioversion. We studied 96 consecutive patients with short-term (group A; n:51, age: 61 ± 11 years) and long-term AF (group B; n:45, age: 64 ± 10 years). P-wave measurements were calculated from 12-lead electrocardiogram. There was no difference related to clinical characteristics. Left atrial dimension was significantly higher in group B (
P = .003). P maximum (124 ± 12 vs. 113 ± 11 ms,
P = .001) and PD (57 ± 8 vs. 49 ± 9 ms,
P = .001) were also significantly longer in group B compared with group A, but P minimum did not. In univariate analysis, PD were related to AF duration (
P = .002) and left atrial size (
P = .02). This relation remained in multivariate analysis (
P = .01,
P = .02, respectively). P maximum >112 ms and PD >47 ms had accuracy values of 74% and 83% respectively for separating group B. Our results suggest that P wave duration and dispersion is prolonged in patients with long-term AF compared to short-term AF. |
| doi_str_mv | 10.1016/S0022-0736(03)00049-9 |
| format | Article |
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P = .003). P maximum (124 ± 12 vs. 113 ± 11 ms,
P = .001) and PD (57 ± 8 vs. 49 ± 9 ms,
P = .001) were also significantly longer in group B compared with group A, but P minimum did not. In univariate analysis, PD were related to AF duration (
P = .002) and left atrial size (
P = .02). This relation remained in multivariate analysis (
P = .01,
P = .02, respectively). P maximum >112 ms and PD >47 ms had accuracy values of 74% and 83% respectively for separating group B. Our results suggest that P wave duration and dispersion is prolonged in patients with long-term AF compared to short-term AF.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/S0022-0736(03)00049-9</identifier><identifier>PMID: 12942488</identifier><identifier>CODEN: JECAB4</identifier><language>eng</language><publisher>Orlando, FL: Elsevier Inc</publisher><subject>Atrial fibrillation ; Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. Vascular system ; duration ; Electrocardiography ; Female ; Heart ; Heart Atria - physiopathology ; Heart Conduction System - physiopathology ; Humans ; Male ; Medical sciences ; Middle Aged ; P-wave dispersion ; Reaction Time ; ROC Curve ; Time Factors</subject><ispartof>Journal of electrocardiology, 2003-07, Vol.36 (3), p.251-255</ispartof><rights>2003 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Jul 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-c1b12b0d39ff9e404b1988b606434ca1adbf91a74d19227a4170397993bd4ef23</citedby><cites>FETCH-LOGICAL-c418t-c1b12b0d39ff9e404b1988b606434ca1adbf91a74d19227a4170397993bd4ef23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/216197118?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15089730$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12942488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dogan, Abdullah</creatorcontrib><creatorcontrib>Acar, Gurkan</creatorcontrib><creatorcontrib>Gedikli, Omer</creatorcontrib><creatorcontrib>Ozaydin, Mehmet</creatorcontrib><creatorcontrib>Nazli, Cem</creatorcontrib><creatorcontrib>Altinbas, Ahmet</creatorcontrib><creatorcontrib>Ergene, Oktay</creatorcontrib><title>A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>This study compared P-wave duration and dispersion (PD) in patients with short-term (≤48 hours) and long-term (>48 hours) atrial fibrillation (AF) after cardioversion. We studied 96 consecutive patients with short-term (group A; n:51, age: 61 ± 11 years) and long-term AF (group B; n:45, age: 64 ± 10 years). P-wave measurements were calculated from 12-lead electrocardiogram. There was no difference related to clinical characteristics. Left atrial dimension was significantly higher in group B (
P = .003). P maximum (124 ± 12 vs. 113 ± 11 ms,
P = .001) and PD (57 ± 8 vs. 49 ± 9 ms,
P = .001) were also significantly longer in group B compared with group A, but P minimum did not. In univariate analysis, PD were related to AF duration (
P = .002) and left atrial size (
P = .02). This relation remained in multivariate analysis (
P = .01,
P = .02, respectively). P maximum >112 ms and PD >47 ms had accuracy values of 74% and 83% respectively for separating group B. Our results suggest that P wave duration and dispersion is prolonged in patients with long-term AF compared to short-term AF.</description><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>duration</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Atria - physiopathology</subject><subject>Heart Conduction System - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>P-wave dispersion</subject><subject>Reaction Time</subject><subject>ROC Curve</subject><subject>Time Factors</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU9rFTEUxYMo9rX6EZQgWHQxmpvkTSYrKaVqoaCgrkMmf2zKzGRMMi1---a9N1hw01W4ub97OJyD0CsgH4BA-_EHIZQ2RLD2HWHvCSFcNvIJ2sCW0abjjDxFm3_IETrO-aZCkgr6HB0BlZzyrtug4QybOM46hRwnHD3-3tzpW4ftknQJ9UtPFtuQZ5fybgwTnuvCTSXju1Cucb6OqTTFpXGPDnH6vU4lBT1gH_oUhmEv9gI983rI7uX6nqBfny9-nn9trr59uTw_u2oMh640BnqgPbFMei8dJ7wH2XV9S1rOuNGgbe8laMEtSEqF5iAIk0JK1lvuPGUn6PSgO6f4Z3G5qDFk46qLycUlK8G2sqOiq-Cb_8CbuKSpelMUWpACYAdtD5BJMefkvJpTGHX6q4CoXRdq34XaBa0IU_sulKx3r1fxpR-dfbhaw6_A2xXQ2ejBJz2ZkB-4LemkYKRynw6cq5ndBpdUNrUB42xIzhRlY3jEyj16SqWc</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Dogan, Abdullah</creator><creator>Acar, Gurkan</creator><creator>Gedikli, Omer</creator><creator>Ozaydin, Mehmet</creator><creator>Nazli, Cem</creator><creator>Altinbas, Ahmet</creator><creator>Ergene, Oktay</creator><general>Elsevier Inc</general><general>Churchill Livingstone</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation</title><author>Dogan, Abdullah ; Acar, Gurkan ; Gedikli, Omer ; Ozaydin, Mehmet ; Nazli, Cem ; Altinbas, Ahmet ; Ergene, Oktay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-c1b12b0d39ff9e404b1988b606434ca1adbf91a74d19227a4170397993bd4ef23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>duration</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Atria - physiopathology</topic><topic>Heart Conduction System - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>P-wave dispersion</topic><topic>Reaction Time</topic><topic>ROC Curve</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dogan, Abdullah</creatorcontrib><creatorcontrib>Acar, Gurkan</creatorcontrib><creatorcontrib>Gedikli, Omer</creatorcontrib><creatorcontrib>Ozaydin, Mehmet</creatorcontrib><creatorcontrib>Nazli, Cem</creatorcontrib><creatorcontrib>Altinbas, Ahmet</creatorcontrib><creatorcontrib>Ergene, Oktay</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dogan, Abdullah</au><au>Acar, Gurkan</au><au>Gedikli, Omer</au><au>Ozaydin, Mehmet</au><au>Nazli, Cem</au><au>Altinbas, Ahmet</au><au>Ergene, Oktay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>36</volume><issue>3</issue><spage>251</spage><epage>255</epage><pages>251-255</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><coden>JECAB4</coden><abstract>This study compared P-wave duration and dispersion (PD) in patients with short-term (≤48 hours) and long-term (>48 hours) atrial fibrillation (AF) after cardioversion. We studied 96 consecutive patients with short-term (group A; n:51, age: 61 ± 11 years) and long-term AF (group B; n:45, age: 64 ± 10 years). P-wave measurements were calculated from 12-lead electrocardiogram. There was no difference related to clinical characteristics. Left atrial dimension was significantly higher in group B (
P = .003). P maximum (124 ± 12 vs. 113 ± 11 ms,
P = .001) and PD (57 ± 8 vs. 49 ± 9 ms,
P = .001) were also significantly longer in group B compared with group A, but P minimum did not. In univariate analysis, PD were related to AF duration (
P = .002) and left atrial size (
P = .02). This relation remained in multivariate analysis (
P = .01,
P = .02, respectively). P maximum >112 ms and PD >47 ms had accuracy values of 74% and 83% respectively for separating group B. Our results suggest that P wave duration and dispersion is prolonged in patients with long-term AF compared to short-term AF.</abstract><cop>Orlando, FL</cop><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>12942488</pmid><doi>10.1016/S0022-0736(03)00049-9</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of electrocardiology, 2003-07, Vol.36 (3), p.251-255 |
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| subjects | Atrial fibrillation Atrial Fibrillation - physiopathology Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system duration Electrocardiography Female Heart Heart Atria - physiopathology Heart Conduction System - physiopathology Humans Male Medical sciences Middle Aged P-wave dispersion Reaction Time ROC Curve Time Factors |
| title | A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation |
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