• African health sciences · Mar 2021

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

    • Yunus Celik, Nesligül Yıldırım, Vahit Demir, Cağlar Alp, Omer Sahin, and Mehmet Tolga Doğru.
    • Department of Cardiology, Kırıkkale Yuksek Ihtisas Hospital, Kırıkkale, Turkey.
    • Afr Health Sci. 2021 Mar 1; 21 (1): 140-149.

    BackgroundThe 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).MethodsTotal 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.ResultsPWD 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).ConclusionBoth mild and severe COPD groups decreased PWD, increased tricuspid PA and significantly decreased interand right intra-AEMD times in comparison to the control group.© 2021 Celik Y et al.

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