Journals / Eurasian Journal of Medical Investigation / 2020 / Cilt: 4 - Sayı: 2

Relationship Between Shunt Size and Right Lead Electrocardiographic Findings in Patients with Secundum Atrial Septal Defect

Pages
265–268
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

V4RQTmax were 321.2±26.4msec; 351.1±33.6 msec, respectively (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Secundum atrial defect (ASDs) causes changing in cardiac hemodynamics dependent on the defect sizeand shunt volume including volume overload, stress extends to tissues in the cardiac conduction system and manifestsas intra-atrial or intra-ventricular conduction delay.
📊
Key Findings & Data:The aim of the study is to evaluate that ECG findings in patients withatrial septal defect can help determine the shunt rate.Methods: This retrospective study included 74 patients with ASDs.
💡
Conclusion & Impact:V4RQTmax were 321.2±26.4msec; 351.1±33.6 msec, respectively (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Secundum atrial defect (ASDs) causes changing in cardiac hemodynamics dependent on the defect sizeand shunt volume including volume overload, stress extends to tissues in the cardiac conduction system and manifestsas intra-atrial or intra-ventricular conduction delay. The aim of the study is to evaluate that ECG findings in patients withatrial septal defect can help determine the shunt rate.Methods: This retrospective study included 74 patients with ASDs. Standard 12-lead ECG and right precordial electrocardiographicrecordings (V3R, V4R, V5R, and V6R) were obtained from all patients. QT intervals were measured manually fromECG on paper prints. According to shunt ratio (Qp/Qs), the patients divided into two groups as Group 2.Results: The mean ages of Group1 and Group2 were similar (p>0.05). There were no significant differences between thetwo groups between RA (right atrium) diameters, RV (right ventricle) diameter (p>0.05). V4RQTmax were 321.2±26.4msec; 351.1±33.6 msec, respectively (p

🔖

Cite This Article

SARIÇAM, E., ÖCAL, A. (2022). Relationship Between Shunt Size and Right Lead Electrocardiographic Findings in Patients with Secundum Atrial Septal Defect. Eurasian Journal of Medical Investigation, Cilt: 4 - Sayı: 2, 265–268. https://ajindex.com/articles/508657

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (5)

  1. Dickinson DF, Arnold R, Wilkinson JL. Congenital heart disease among 160 480 live-born children in Liverpool 1960 to 1969: implications for surgical treatment. Br Heart J 1981;46:55–62
  2. Hijazi ZM, Hellenbrand WE. The right ventricle in congenital heart disease. Cardiology Clin 1992;10:91–102. [CrossRef ] 3. Geva T, Martins JD, Wald RM. Atrial septal defects. Lancet 2014;383:1921–32. [CrossRef ] 4. Kuijpers JM, Mulder BJ, Bouma BJ. Secundum atrial septal defect in adults: a practical review and recent developments. Neth Heart J 2015;23:205–11. [CrossRef ] 5. Gatzoulis MA, Freeman MA, Siu SC, et al. Atrial arrhythmia after surgical closure of atrial septal defects in adults. N Engl J Med 1999;340:839–46. [CrossRef ] 6. Konstantinides S, Geibel, Olschewski M, et al. A comparison of surgical and medical therapy for atrial septal defect in adults. N Engl J Med 1995;333:169–73. [CrossRef ] 7. Gatzoulis MA, Redington AN, Somerville J, Shore D. Should atrial septal defects in adults be closed? Ann Thorac Surg 1996;61:657–9. [CrossRef ] 8. Chubb H, Whitaker J, Williams SE, Head CE, Chung NA, Wright MJ, O’Neill M. Pathophysiology and management of arrhythmias associated with atrial septal defect and patent foramen ovale. Arrhythm Electrophysiol Rev 2014;3:168–172. [CrossRef ] 9. Morton JB, Sanders P, Vohra JK, Sparks PB, Morgan JG, Spence SJ, et al. Effect of chronic right atrial stretch on atrial electrical remodeling in patients with an atrial septal defect. Circulation 2003;8:1775–82. [CrossRef ] 10. Bolzer E. Tonus changes in cardiac muscle and their significance for the initiation of impulses. Am J Physiol 1943;139:477–80
  3. Lab MJ. Mechanoelectric feedback (transduction) in heart: concepts and implications. Cardiovasc Res 1996;32:3–14
  4. Eckhardt L, Kirchhof P, Breithardt G, Haverkamp W. Load-induced changes in repolarization: evidence from experimental and clinical data. Basic Res Cardiol 2001;96:369–80. [CrossRef ] 13. McCulloch AD, Pfeiffer E, Tangney J, Omens J. Biomechanics of Cardiac Electromechanical Coupling and Mechanoelectric Feedback. J Biomech Eng 2014;136. [CrossRef ] 14. Barbosa HT, Brandenburg RO, Swan HJC. Atrial septal defect: the electrocardiogram and its hemodynamic correlation in 100 proven cases. Am J Cardiol 1958;2:698–703. [CrossRef ] 15. Hutchinson RG. Complete right bundle branch block in right ventricular volüme averload. J Miss State Med Assoc 1969;10:88–91
  5. Boineau JP, Moore EN, Patterson DF. Relationship between the E