지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Background and Purpose To investigate an association between left atrial (LA) structural and P wave dispersion (PWD) during sinus rhythm, and electrical remodeling in cryptogenic stroke (CS) patients.
Methods Forty CS patients and 40 age- and sex-matched healthy controls were enrolled. P wave calculations were based on 12-lead electrocardiography (ECG) at a 50-mm/s-paper speed with an amplitude of 10 mm/mV. Difference between the maximum and minimum P wave duration was the P wave dispersion (PWD=Pmax-Pmin). LA deformation was evaluated by speckle tracking echocardiography within 3 days of the acute event.
Results PWD was 30.1±7.0 ms and 27.4±3.5 ms in CS and control group (P=0.02), whereas LA maximum volume index [LAVImax] was 20.4±4.5 mL/m2 and 19.9±2.4 mL/m2 in CS and control group, respectively (P=0.04). While global peak LA strain was [pLA-S] (LA reservoir function) 41.4±6.3% and 44.5±7.1% in CS and control group, (P=0.04), global peak late diastolic strain rate values [pLA-SRa] (LA pump function) were 2.5±0.4% and 2.9±0.5% in CS and control group, respectively (P=0.001). A mild and a strong negative correlation between global pLA-S and LAVImax (r=-0.49; P<0.01), and between PWD and global pLA-S (r=-0.52; P<0.01), respectively, was observed in CS.
Conclusions Increased PWD is associated with impaired LA mechanical functions and enlargement, and involved in the pathophysiology of AF or an AF-like physiology in CS.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Oppenheimer SM / 1994 / Neurogenic cardiac effects of cerebrovascular disease / Curr Opin Neurol 7:20~24
Ceylan O / 2010 / Value of inter-atrial conduction time and P wave dispersion in the prediction of atrial fibrillation following coronary bypass surgery / Anadolu Kardiyol Derg 10:495~501
Cagirci G / 2011 / Tissue Doppler atrial conduction times and electrocardiogram interlead P-wave durations with varying severity of obstructive sleep apnea / J Electrocardiol 44:478~482
Emiroglu MY / 2011 / Assessment of atrial conduction time in patients with essential hypertension / J Electrocardiol 44:251~256
Abhayaratna WP / 2006 / Left atrial size: physiologic determinants and clinical applications / J Am Coll Cardiol 47:2357~2363
Ceylan O / 2010 / Value of inter-atrial conduction time and P wave dispersion in the prediction of atrial fibrillation following coronary bypass surgery / Anadolu Kardiyol Derg 10:495~501
Cagirci G / 2011 / Tissue Doppler atrial conduction times and electrocardiogram interlead P-wave durations with varying severity of obstructive sleep apnea / J Electrocardiol 44:478~482
Emiroglu MY / 2011 / Assessment of atrial conduction time in patients with essential hypertension / J Electrocardiol 44:251~256
Abhayaratna WP / 2006 / Left atrial size: physiologic determinants and clinical applications / J Am Coll Cardiol 47:2357~2363
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
How to Identify Patients at Risk of Silent Atrial Fibrillation after Cryptogenic Stroke: Potential Role of P Wave Dispersion
대한뇌졸중학회지
2017 .01
-
Incremental Value of Left Atrial Global Longitudinal Strain for Prediction of Post Stroke Atrial Fibrillation in Patients with Acute Ischemic Stroke
Journal of Cardiovascular Imaging
2016 .01
-
Ischemic Stroke after Heart Transplantation
대한뇌졸중학회지
2016 .01
-
Left Atrial Mechanical Dysfunction Is Associated With Atrial Fibrillation and Recurrent Stroke After Cryptogenic Stroke
대한뇌졸중학회지
2024 .05
-
Frequent Premature Atrial Contractions as a Poor Prognostic Factor in Cryptogenic Stroke Patients with Concomitant Non-Sustained Atrial Tachycardia
Yonsei Medical Journal
2020 .01
-
Left Atrial Velocity Vector Imaging Can Assess Early Diastolic Dysfunction in Left Ventricular Hypertrophy and Hypertrophic Cardiomyopathy
Journal of Cardiovascular Imaging
2023 .01
-
Association Between Cohabitation Status and Sleep Quality in Families of Persons With Dementia in Korea: A Cross-sectional Study
예방의학회지
2021 .09
-
Determinants of the Volumetric Markers of Left Atrial Contraction Function in Coronary Artery Disease: A Cross-sectional Study
Journal of Cardiovascular Imaging
2022 .01
-
Identifying Adverse Remodeling in Hypertrophic Cardiomyopathy Phenotypes Role of Left Atrial Parameters
Cardiovascular Imaging Asia
2021 .01
-
Evaluation of Left Atrial Electromechanical Delay and Left Atrial Phasic Functions in Surgical Early Menopause Patients
Journal of Cardiovascular Imaging
2019 .01
-
Electrical Remodeling of Left Atrium Is a Better Predictor for Recurrence Than Structural Remodeling in Atrial Fibrillation Patients Undergoing Radiofrequency Catheter Ablation
Korean Circulation Journal
2022 .05
-
How and When to Screen for Atrial Fibrillation after Stroke: Insights from Insertable Cardiac Monitoring Devices
대한뇌졸중학회지
2016 .01
-
Left Atrial Function Following Surgical Ablation of Atrial Fibrillation: Prospective Evaluation Using Dual-Source Cardiac Computed Tomography
Yonsei Medical Journal
2015 .01
-
Cardiac Blood-Based Biomarkers of Myocardial Stress as Predictors of Atrial Fibrillation Development in Patients With Embolic Stroke of Undetermined Source/Cryptogenic Stroke: A Systematic Review and Meta-Analysis
Journal of Clinical Neurology
2024 .05
-
Comparison of Rhythm and Rate Control Strategies for Stroke Occurrence in a Prospective Cohort of Atrial Fibrillation Patients
Yonsei Medical Journal
2018 .01
-
Anti-phospholipase A2 receptor antibody as a prognostic marker in patients with primary membranous nephropathy
Kidney Research and Clinical Practice
2018 .01
-
Anti-phospholipase A2 receptor antibody as a prognostic marker in patients with primary membranous nephropathy
Kidney Research and Clinical Practice
2018 .01
-
Radiological Findings and Outcomes of Bronchial Artery Embolization in Cryptogenic Hemoptysis
Journal of Korean Medical Science
2015 .01
-
심방세동을 가진 급성 허혈성 뇌졸중의 평균혈소판용적(mean platelet volume)의 상승
Journal of Neurocritical Care
2016 .01
-
2021 대한부정맥학회 심방세동 환자의 뇌졸중 예방 관리 지침
대한내과학회지
2021 .08
이 논문의 저자 정보
최근 본 자료
댓글(0)
0