Year 2020, Volume 59 , Issue 1, Pages 34 - 38 2020-03-13

Interatrial conduction disorders in patients with ST-elevation myocardial infarction
ST-segment elevasyonlu akut miyokard infarktüsü ile başvuran hastalarda interatrial ileti bozuklukları

Gökhan ALTUNBAŞ [1] , Ertan VURUŞKAN [2] , Fatma YILMAZ COŞKUN [3] , Murat SUCU [4]


Aim: The most significant clinical association of interatrial block (IAB) was found with increased risk of atrial fibrillation and ischemic stroke. In this study, we sought to evaluate P wave duration and interatrial block in patients presented with acute ST-segment-elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI).

Materials and Methods: We performed a retrospective analysis of patients presented with acute STEMI who underwent emergent PCI. Follow-up electrocardiograms were obtained from electronic database system. Echocardiographic data were also obtained from electronic patient records. Electrocardiographic measurements were performed using SEMA Workstation 3.8.1 (Schiller AG).

Results: Primary analysis included 200 consecutive patients with STEMI. However, there were 20 in-hospital deaths and 83 patients were lost to follow-up. Remaining 97 patients (80 male, 17 female) were included in the final analysis. Mean age was 57.0212.18 years. There were 48 patients with anterior STEMI and 49 patients with inferior STEMI. Mean duration of follow-up was 11 months and ECGs at the end of the follow up revealed that the frequency of partial and advanced IAB were 13.2% and 7.7% respectively. Statistical analysis showed that neither P wave duration nor IAB showed significant association with the infarct related artery lesion localization. Also, the degree of systolic dysfunction was not associated with IAB. Only male gender and left atrial diameter had significant positive correlation with P wave duration.

Conclusion: IAB was not rare in patients with a history of acute coronary syndrome. The infarct related artery does not seem to have a significant correlation with interatrial conduction.

Amaç: İnteratrial bloğun klinikte en önemli ilişkisi bu hastalarda atrial fibrilasyon ve iskemik strok riskinin arttığının gösterilmiş olmasıdır. Bu çalışmamızda ST-segment elevasyonlu akut miyokard infarktüsü (STEMI) ile başvurup primer perkütan koroner girişim (PCI) yapılan hastaların takibinde EKG’de P dalga süresi ve interatrial bloğu incelemeyi amaçladık.

Gereç ve Yöntem: STEMI ile başvuran ve acil PCI uygulanan hastalar retrospektif olarak incelendi. Takip EKG’leri ve ekokardiyografileri sistemden tarandı. EKG ölçümleri SEMA Workstation 3.8.1 (Schiller AG) yardımıyla yapıldı.

Bulgular: Primer analize 200 hasta dahil edildi. Ancak 20 hastanın hastane içi ölüm nedeniyle kaybedildiği ve 83 hastanın ise indeks olaydan sonra tekrar takibe gelmediği saptandı. Bu nedenle son analize 97 hasta (80 erkek, 17 kadın) dahil edildi. Ortalama yaş 57,0212,18 yıl idi. 48 hasta ön duvar STEMI ve 49 hasta ise alt duvar STEMI ile başvurdu. İndeks olay sonrası ortalama takip süresi 11 ay olarak hesaplandı. Takip süresi sonunda kısmi İAB %13,2, ileri İAB ise 7,7% olarak izlendi. İstatistiksel analiz sonucuna göre P dalga süresi ve İAB infarkt arter lokalizasyonu ile ilişkili bulunamadı. Aynı zamanda enfarktüs sonrası gelişen sol ventrikül sistolik disfonksiyonu ile de İAB arasında ilişkili bulunamadı. P dalga süresi ile sadece erkek cinsiyet ve sol atrial çap arasında anlamlı pozitif korelasyon izlendi.

Sonuç: İAB’nin koroner arter hastalarında nadir olmadığı görüldü. Aynı zamanda enfarkt arterinin interatrial ileti ile ilişkisi olmadığı gözlendi.

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0002-0171-0464
Author: Gökhan ALTUNBAŞ (Primary Author)
Institution: Gaziantep University Medical Faculty Hospital, Department of Cardiology, Gaziantep, Turkey
Country: Turkey


Orcid: 0000-0001-6820-3582
Author: Ertan VURUŞKAN
Institution: Gaziantep University Medical Faculty Hospital, Department of Cardiology, Gaziantep
Country: Turkey


Orcid: 0000-0001-9041-3682
Author: Fatma YILMAZ COŞKUN
Institution: Gaziantep University Medical Faculty Hospital, Department of Cardiology, Gaziantep
Country: Turkey


Orcid: 0000-0002-3695-5461
Author: Murat SUCU
Institution: Gaziantep University Medical Faculty Hospital, Department of Cardiology, Gaziantep
Country: Turkey


Dates

Publication Date : March 13, 2020

Bibtex @research article { etd697843, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2020}, volume = {59}, pages = {34 - 38}, doi = {10.19161/etd.697843}, title = {Interatrial conduction disorders in patients with ST-elevation myocardial infarction}, key = {cite}, author = {ALTUNBAŞ, Gökhan and VURUŞKAN, Ertan and YILMAZ COŞKUN, Fatma and SUCU, Murat} }
APA ALTUNBAŞ, G , VURUŞKAN, E , YILMAZ COŞKUN, F , SUCU, M . (2020). Interatrial conduction disorders in patients with ST-elevation myocardial infarction. Ege Tıp Dergisi , 59 (1) , 34-38 . DOI: 10.19161/etd.697843
MLA ALTUNBAŞ, G , VURUŞKAN, E , YILMAZ COŞKUN, F , SUCU, M . "Interatrial conduction disorders in patients with ST-elevation myocardial infarction". Ege Tıp Dergisi 59 (2020 ): 34-38 <http://egetipdergisi.com.tr/en/issue/52885/697843>
Chicago ALTUNBAŞ, G , VURUŞKAN, E , YILMAZ COŞKUN, F , SUCU, M . "Interatrial conduction disorders in patients with ST-elevation myocardial infarction". Ege Tıp Dergisi 59 (2020 ): 34-38
RIS TY - JOUR T1 - Interatrial conduction disorders in patients with ST-elevation myocardial infarction AU - Gökhan ALTUNBAŞ , Ertan VURUŞKAN , Fatma YILMAZ COŞKUN , Murat SUCU Y1 - 2020 PY - 2020 N1 - doi: 10.19161/etd.697843 DO - 10.19161/etd.697843 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 34 EP - 38 VL - 59 IS - 1 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.697843 UR - https://doi.org/10.19161/etd.697843 Y2 - 2019 ER -
EndNote %0 Ege Tıp Dergisi Interatrial conduction disorders in patients with ST-elevation myocardial infarction %A Gökhan ALTUNBAŞ , Ertan VURUŞKAN , Fatma YILMAZ COŞKUN , Murat SUCU %T Interatrial conduction disorders in patients with ST-elevation myocardial infarction %D 2020 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 59 %N 1 %R doi: 10.19161/etd.697843 %U 10.19161/etd.697843
ISNAD ALTUNBAŞ, Gökhan , VURUŞKAN, Ertan , YILMAZ COŞKUN, Fatma , SUCU, Murat . "Interatrial conduction disorders in patients with ST-elevation myocardial infarction". Ege Tıp Dergisi 59 / 1 (March 2020): 34-38 . https://doi.org/10.19161/etd.697843
AMA ALTUNBAŞ G , VURUŞKAN E , YILMAZ COŞKUN F , SUCU M . Interatrial conduction disorders in patients with ST-elevation myocardial infarction. ETD. 2020; 59(1): 34-38.
Vancouver ALTUNBAŞ G , VURUŞKAN E , YILMAZ COŞKUN F , SUCU M . Interatrial conduction disorders in patients with ST-elevation myocardial infarction. Ege Tıp Dergisi. 2020; 59(1): 38-34.