Eisenmenger sendromlu çocuklarda P dalgası ve QT intervali dispersiyon analizi

Objective & Hypothesis:Objectives: P-wave and QT dispersion are increased and as- sociated with atrial and ventricular arrhythmia and an increase in sudden death in a variety of diseases.

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Key Findings & Data:Study design: The study group included 27 children (15 fe- males, 12 males) with both congenital heart disease (CHD) and ES.

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Conclusion & Impact:P-wave, QT and QTc dispersions were higher in the patients with ES (50.10±11.12 vs. 26.32±8.90, p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objectives: P-wave and QT dispersion are increased and as- sociated with atrial and ventricular arrhythmia and an increase in sudden death in a variety of diseases. This study aimed to investigate P-wave and QT dispersion in children with Eisen- menger syndrome (ES). Study design: The study group included 27 children (15 fe- males, 12 males) with both congenital heart disease (CHD) and ES. The control group consisted of 30 children with CHD without pulmonary arterial hypertension. Electrocardiographic records were used to determine P-wave, QT, and corrected QT (QTc) dispersions. 24-hour (h) rhythm Holter was fitted in all patients. Atrial volumes, ventricular dimensions and tricus- pid annular plane systolic excursion (TAPSE) were measured by echocardiography. Results: There was no difference between groups with regard to age, sex, weight, and body surface area (p>0.05). Right atri- al volume was significantly larger in the ES group than in the control group. P-wave, QT and QTc dispersions were higher in the patients with ES (50.10±11.12 vs. 26.32±8.90, p

Özet

Amaç: P dalgası ve QT dispersiyonu artışı atriyum ve ventrikül aritmileri ve çeşitli hastalıklarda ani ölüm riski artışıyla ilişkili bulunmuştur. Bu çalışmada, Eisenmenger sendromu (ES) olan çocuklarda P dalgası ve QT dispersiyonu araştırılması amaçlanmıştır.Çalışma planı: Çalışma grubu doğumsal kalp hastalığı (DKH) ve ES bulunan 27 çocuk hastadan (15 kız, 12 erkek), kontrol grubu ise DKH olup pulmoner hipertansiyonu olmayan 30 çocuk hastadan oluşturuldu. Elektrokardiyografik kayıtlardan P dalga, QT ve düzeltilmiş QT (QTc) ölçüldü. Tüm hastalara 24 saatlik ritm Holter takıldı. Ekokardiyografi ile atriyum hacimleri, ventrikül boyutları ve triküspit kapak anülüs düzlemi sistolik hareketi (TAPSE) ölçüldü.Bulgular: Her iki grup arasında yaş, cinsiyet, kilo ve vücut yüzey alanı arasında anlamlı fark yoktu (p>0.05). Çalışma grubunda sağ atriyum hacmi kontrol grubuna göre belirgin olarak daha genişti. ESli çocuklarda P dalga, QT ve QTc dispersiyon süresi anlamlı olarak daha yüksek saptandı (sırasıyla, 50.10±11.12 ve 26.32±8.90, p

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Cite This Article

ECE, İ., KİBAR, A. E., BALLI, Ş., SAL, E., ÜNER, A., OFLAZ, M. B. (2022). Eisenmenger sendromlu çocuklarda P dalgası ve QT intervali dispersiyon analizi. Türk Kardiyoloji Derneği Arşivi, Cilt: 42 - Sayı: 2, 154–160. https://ajindex.com/articles/632843

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