The effect of recanalization of a chronic total coronary occlusion on P-wave dispersion

dc.authorid0000-0003-0230-6575
dc.contributor.authorTosu, Aydın Rodi
dc.contributor.authorKalyoncuoğlu, Muhsin
dc.contributor.authorBiter, Halil İbrahim
dc.contributor.authorÇakal, Sinem
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorÇınar, Tufan
dc.contributor.authorBelen, Erdal
dc.contributor.authorCan, Mehmet Mustafa
dc.date.accessioned2021-09-16T09:06:25Z
dc.date.available2021-09-16T09:06:25Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractIntroduction: P-wave dispersion (PWD) obtained from the standard 12-lead electrocardiography (ECG) is considered to reflect the homogeneity of the atrial electrical activity. The aim of this investigation was to evaluate the effect of percutaneous chronic total occlusion (CTO) revascularization on the parameters of P wave duration and PWD on ECG in cases before and after procedure at 12th months. Methods: We analyzed 90 consecutive CTO cases who were on sinus rhythm and underwent percutaneous coronary intervention (PCI). P-wave maximum (P-max) and P-wave minimum (P-min), P-wave time, and PWD were determined before and twelve months after the CTO intervention. The study population was categorized into two groups as successful and unsuccessful CTO PCI groups. Results: The CTO PCI was successful in 71% of cases (n = 64) and it was unsuccessful in 29% of cases (n = 26). Both groups, except for age and hypertension, were similar in terms of demographic and clinical aspects. CRP levels were significantly elevated in the unsuccessful CTO PCI group. Pre-PCI ECG parameters showed no significant difference. Irrespective of the target vessel revascularization, we observed that PWD and P-max values were significantly lower in the 12th months follow-up. In all Rentrop classes, PWD values were significantly decreased at 12th months follow-up in comparison to the pre-CTO PCI values. Conclusion: This study has determined that PWD and P-max, which are both risk factors for atrial arrhythmias, are significantly reduced within 12th months after successful CTO PCI regardless of the target vessel.
dc.identifier.citationTosu, A. R., Kalyoncuoğlu, M., Biter, H. İ., Çakal, S., Çakal, B., Çınar, T. ... Can, M. M. (2021). The effect of recanalization of a chronic total coronary occlusion on P-wave dispersion. Journal of Cardiovascular and Thoracic Research, 13(3), 222-227. https://dx.doi.org/10.34172/jcvtr.2021.38
dc.identifier.doi10.34172/jcvtr.2021.38
dc.identifier.endpage227
dc.identifier.issn2008-5117
dc.identifier.issn2008-6830
dc.identifier.issue3
dc.identifier.scopusqualityQ4
dc.identifier.startpage222
dc.identifier.urihttps://dx.doi.org/10.34172/jcvtr.2021.38
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8193
dc.identifier.volume13
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTabriz University of Medical Sciences and Health Services
dc.relation.ispartofJournal of Cardiovascular and Thoracic Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectChronic Total Occlusion
dc.subjectPercutaneous Coronary
dc.subjectIntervention
dc.subjectP-Wave
dc.subjectP-Wave Dispersion
dc.titleThe effect of recanalization of a chronic total coronary occlusion on P-wave dispersion
dc.typeArticle

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