The Evaluation of P-Wave Parameters in Patients With Percutaneous Closure of Atrial Septal Defect

dc.authorscopusid 25721884200
dc.authorscopusid 23469553600
dc.authorscopusid 15840456000
dc.authorscopusid 56157187300
dc.contributor.author Astan, Ramazan
dc.contributor.author Kacmaz, Fehmi
dc.contributor.author Saricam, Ersin
dc.contributor.author Ilkay, Erdogan
dc.date.accessioned 2025-05-05T19:06:01Z
dc.date.available 2025-05-05T19:06:01Z
dc.date.issued 2025
dc.department Atılım University en_US
dc.department-temp [Astan, Ramazan] Batman Training & Res Hosp, Batman, Turkiye; [Kacmaz, Fehmi] Uskudar Univ, Fac Med, Dept Cardiol, Istanbul, Turkiye; [Kacmaz, Fehmi] Ozel Nev Hosp, Sanliurfa, Turkiye; [Saricam, Ersin] Atılım Univ, Medicana Int Ankara Hosp, Cardiol Clin, Ankara, Turkiye; [Ilkay, Erdogan] Medicana Int Ankara Hosp, Cardiol Clin, Ankara, Turkiye en_US
dc.description.abstract Background: Atrial septal defect (ASD) can lead to volume overload and related changes in P-wave parameters in surface electrocardiograms of these patients. In this study, we aimed to evaluate the effect of volume overload on P-wave parameters in patients with ASD. Materials and methods: This study is a retrospective cohort analysis. A total of 142 patients with secundum ASD who underwent percutaneous closure were evaluated. P-wave duration (Pmax) and P-wave dispersion (PWD) were measured on the surface ECG before and 1 h after the closure procedure. We evaluated P-wave parameters in terms of defect size, duration of the volume overload, and closure device sizes. Results: Pmax and PWD were significantly decreased after the procedure compared with the values before the procedure (p < 0.001). Pmax values had a statistically significant correlation with ASD size (< 20 mm or >= 20 mm) both before and after the procedure. Pmax values were significantly higher in patients older than 30 years of age (119.6 +/- 19.5 vs. 102.7 +/- 17.1 ms, respectively; p = 0.039). A significantly positive correlation was found between pre- and post-procedural Pmax and defect sizes (r = 0.474, p = 0.019 and r = 0.4233, p = 0.04, respectively). However, no positive correlation between PWD and defect age and size was present. Conclusion: Percutaneous closure of ASD is associated with an immediate decrease in both Pd and Pmax that seems to be related to the acute volume overload cessation in cardiac chambers. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.1111/anec.70076
dc.identifier.issn 1082-720X
dc.identifier.issn 1542-474X
dc.identifier.issue 3 en_US
dc.identifier.pmid 40197671
dc.identifier.scopus 2-s2.0-105002238748
dc.identifier.scopusquality Q3
dc.identifier.uri https://doi.org/10.1111/anec.70076
dc.identifier.uri https://hdl.handle.net/20.500.14411/10557
dc.identifier.volume 30 en_US
dc.identifier.wos WOS:001462536100001
dc.identifier.wosquality Q4
dc.language.iso en en_US
dc.publisher Wiley en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 0
dc.subject Atrial Septal Defect en_US
dc.subject Electrocardiography en_US
dc.subject P-Wave Dispersion en_US
dc.subject P-Wave Duration en_US
dc.title The Evaluation of P-Wave Parameters in Patients With Percutaneous Closure of Atrial Septal Defect en_US
dc.type Article en_US
dc.wos.citedbyCount 0
dspace.entity.type Publication

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