scholarly journals Evaluation of atrial electromechanical delay and left atrial phasic function in individuals with electrocardiographic early repolarization pattern

2020 ◽  
Author(s):  
Murat Akcay ◽  
Ufuk Yildirim
Keyword(s):  
Left Atrial ◽  
Electromechanical Delay ◽  
Early Repolarization ◽  
Atrial Electromechanical Delay

scholarly journals Evaluation of left atrial mechanics and p-wave dispersion as markers of left atrial cardiopathy in patients of embolic stroke of undetermined source (ESUS)

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Masood ◽  
M.M Azharuddin ◽  
S.M.K Ashraf ◽  
S Wahab
Keyword(s):  
Left Atrial ◽  
Wave Dispersion ◽  
Embolic Stroke ◽  
P Wave ◽  
Electromechanical Delay ◽  
P Wave Dispersion ◽  
Atrial Electromechanical Delay ◽  
Wave Duration ◽  
P Wave Duration ◽  
Increased Risk

Abstract Introduction Around 25% of all ischaemic strokes have no known cause despite standard investigations. Most of these cases are suspected to have an embolic source for ischaemia, leading to the moniker of Embolic Stroke of Undetermined Source (ESUS). Recent studies suggest that abnormalities of the left atrium, in the form of atrial cardiopathy, can lead to increased risk of stroke even in the absence of atrial fibrillation (AF), which may be either as precursors to AF or as independent risk factors for the development of left atrial thrombus and subsequent stroke. Purpose The aim of this study was to measure LA electromechanical dissociation, LA volumes and P-wave dispersion as markers of atrial cardiopathy in patients with ESUS to determine whether atrial cardiopathy may be in the causal pathway of ESUS. Methods 28 patients presenting with ischaemic stroke and fulfilling the criteria for ESUS were enrolled into this cross-sectional, observational study. All patients had 24-hour Holter monitoring done to rule out the presence of AF. The control group consisted of 28 age- and gender-matched apparently healthy individuals. On ECG, P-wave Dispersion (PWD) was calculated by subtracting minimum P-wave duration from maximum P-wave duration. On echocardiography, time intervals from the beginning of P-wave to beginning of A' wave from the lateral mitral annulus in tissue doppler imaging was measured as the atrial electromechanical delay. LA volumes were recorded using the Modified Biplane Simpson's method. Statistical analysis was performed using student's t-test, chi-square test, and Pearson's test. Results Baseline demographic and laboratory characteristics were similar between the two groups. Increased PWD (34.14±9.89 ms vs. 27.32±8.95 ms; p=0.01), atrial electromechanical delay (73.32±16.31 ms vs. 63.63±13.59 ms; p=0.02) and LA volumes were observed in patients with ESUS as compared to controls. A significant correlation was also found between these parameters (p<0.01). Discussion According to the results of our study, PWD, atrial electromechanical delay and LA volumes may be novel predictors for ESUS. Atrial cardiopathy is a unique mechanism of thrombo-embolism in ESUS patients and our data establishes its association with ESUS. Further studies will be needed to shed more light on its role in the causality of stroke in the ESUS population. Measurement of electromechanical delay Funding Acknowledgement Type of funding source: None

scholarly journals Evaluation of Left Atrial Electromechanical Delay and Left Atrial Phasic Functions in Surgical Early Menopause Patients

2019 ◽  
Vol 27 (2) ◽  
pp. 137 ◽  
Author(s):  
Murat Akcay ◽  
Metin Coksevim ◽  
Hasan Ulubaşoğlu ◽  
Omer Gedikli ◽  
Ozcan Yılmaz
Keyword(s):  
Left Atrial ◽  
Electromechanical Delay ◽  
Early Menopause ◽  
Atrial Electromechanical Delay

Assessment of Atrial Electromechanical Delay and Left Atrial Mechanical Functions in Patients with Psoriasis Vulgaris

2014 ◽  
Vol 32 (4) ◽  
pp. 615-622 ◽  
Author(s):  
Gökhan Aksan ◽  
Gökay Nar ◽  
Korhan Soylu ◽  
Sinan İnci ◽  
Serkan Yuksel ◽  
...  
Keyword(s):  
Left Atrial ◽  
Psoriasis Vulgaris ◽  
Electromechanical Delay ◽  
Atrial Electromechanical Delay

scholarly journals The relationship between atrial electromechanical delay and left atrial mechanical function in stroke patients

2015 ◽  
Vol 15 (7) ◽  
pp. 565-570 ◽  
Author(s):  
Mehmet Ata Akil ◽  
Esref Akil ◽  
Mehmet Zihni Bilik ◽  
Mustafa Oylumlu ◽  
Halit Acet ◽  
...  
Keyword(s):  
Left Atrial ◽  
Mechanical Function ◽  
Stroke Patients ◽  
Electromechanical Delay ◽  
Atrial Electromechanical Delay ◽  
Atrial Mechanical Function ◽  
The Relationship

scholarly journals Atrial Electromechanical Delay Is Impaired in Patients with Primary Hyperparathyroidism

2020 ◽  
Author(s):  
Saban Kelesoglu ◽  
Yücel Yılmaz ◽  
FERHAT GOKAY ◽  
yasin simsek ◽  
BEKIR CALAPKORUR ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Left Atrial ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Control Group ◽  
Electromechanical Delay ◽  
Correlation Relationship ◽  
Endocrine Disease ◽  
Atrial Electromechanical Delay ◽  
The Difference

Aim: Primary hyperparathyroidism (PHPT) is an endocrine disease that poses a risk for cardiac arrhythmias. Atrial electromechanical delay (EMD) has been known as an early marker of atrial fibrillation (AF). This study aimed to evaluate the atrial EMD in PHPT. Methods: Fifty PHPT patients (45 females, 5 males) aged 30-75 years and 38 controls (35 females, 3 males) aged 31-73 years were included in the study. Atrial EMD parameters were measured by using tissue Doppler imaging (TDI). Inter-atrial EMD was calculated as the difference between PA lateral and PA tricuspid, intra-atrial EMD was calculated as the difference between PA septum and PA tricuspid, and left-atrial EMD was calculated as the difference between PA lateral and PA septum Results: Atrial EMD parameters (PA lateral, PA septum, PA tricuspid) significantly increased in PHPT group compared to control group (p<0.001, for all). Also, inter-atrial and intra-atrial EMD were higher in PHPT group compared to control group (p<0.001, for all). In correlation analysis, calcium was well associated with PA lateral (r=0.748, p<0.001), PA septum (r = 0.720, p <0.001), inter-atrial EMD (r = 0.670, p <0.001) and intra-atrial EMD (r = 0.616, p <0.001). There was the same correlation relationship between PTH levels with PA lateral (r=671, p<0.001), PA septum (r=0.660, p<0,001), inter-atrial EMD (r=0.674, p<0,001) and intra-atrial EMD (r=0.732, p<0.001) Conclusions: Atrial EMD parameters were prolonged in PHPT. The measurement of atrial EMD parameters might be used to determine the risk of development of AF in PHPT

scholarly journals Left Atrial Mechanical Functions, Atrial Electromechanical Delay and P Wave Dispersion in Patients with Mild to Moderate Psoriasis

2013 ◽  
Vol 62 (18) ◽  
pp. C160
Author(s):  
Fatma Özlem Arıcan Özlük ◽  
Mustafa Yılmaz ◽  
Serkan Yazıcı ◽  
Tezcan Peker ◽  
Dursun Topal ◽  
...  
Keyword(s):  
Left Atrial ◽  
Wave Dispersion ◽  
P Wave ◽  
Electromechanical Delay ◽  
P Wave Dispersion ◽  
Atrial Electromechanical Delay
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