P wave peak time; a novel electrocardiographic parameter in the assessment of coronary no-reflow

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dc.contributor.authorÇağdaş, Metin
dc.contributor.authorKarakoyun, Süleyman
dc.contributor.authorRencüzoğulları, İbrahim
dc.contributor.authorKarabağ, Yavuz
dc.contributor.authorYesin, Mahmut
dc.contributor.authorGürsoy, Mustafa Ozan
dc.contributor.authorArtaç, İnanç
dc.contributor.authorİliş, Doğan
dc.contributor.authorEfe, Süleyman Efe
dc.contributor.authorTaşar, Onur
dc.contributor.authorKaraca, Gürkan
dc.date.accessioned2021-02-19T21:20:46Z
dc.date.available2021-02-19T21:20:46Z
dc.date.issued2017
dc.departmentALKÜ
dc.description.abstractObjectives Coronary no-reflow (NR) following primary percutaneous coronary intervention (pPCI) is associated with worsened prognosis in patients with ST segment elevation myocardial infarction (STEMI). Despite rapid developments in cardiovascular area; there are limited data regarding prediction of NR before pPCI. P wave duration and dispersion (PWD, PWDIS respectively) have been studied in STEMI patients and found to be associated with reperfusion success; however none of them has been found to predict NR before PCI. In our study we aimed to evaluate whether PWD, PWDIS and a novel parameter P wave peak time (PWPT) could predict NR development in STEMI patients. Method Fifty six patients who were admitted with anterior STEMI constituted study populations. The diagnosis and treatment of STEMI was made on the basis of current guidelines. P wave parameters including PWD, PWDIS and PWPT were calculated from electrocardiograms that were obtained on admission and 60 min after pPCI. Results Patients were divided into two groups according to the development of NR. We observed that PWPT that were obtained from D2 (PWPTD2) and V1 (PWPTV1) leads were longer in NR group than reflow group. There were significant correlations between PWPT and reperfusion parameters regarding percent of ST segment resolution, peak CKMB level and TIMI frame count of infarct related artery. Preprocedural PWPTD2 was found to be an independent predictor of NR development. Conclusion In our study we observed that PWPT could be a useful parameter in the assessment of reperfusion success and prediction of NR development. © 2017 Elsevier Inc.
dc.identifier.doi10.1016/j.jelectrocard.2017.06.010
dc.identifier.endpage590en_US
dc.identifier.issn0022-0736
dc.identifier.issue5en_US
dc.identifier.pmid28623012
dc.identifier.scopusqualityQ3
dc.identifier.startpage584en_US
dc.identifier.urihttps://doi.org/10.1016/j.jelectrocard.2017.06.010
dc.identifier.urihttps://hdl.handle.net/20.500.12868/666
dc.identifier.volume50en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor0-belirlenecek
dc.language.isoen
dc.publisherChurchill Livingstone Inc.
dc.relation.ispartofJournal of Electrocardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMyocardial infarction
dc.subjectNo-reflow
dc.subjectP wave peak time
dc.titleP wave peak time; a novel electrocardiographic parameter in the assessment of coronary no-reflow
dc.typeArticle

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