Relationship between P wave peak time and coronary artery disease severity in non-ST elevation acute coronary syndrome

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dc.authoridKalçık, Macit / 0000-0002-8791-4475
dc.contributor.authorBayam, Emrah
dc.contributor.authorYıldırım, Ersin
dc.contributor.authorKalçık, Macit
dc.contributor.authorKaraduman, Ahmet
dc.contributor.authorKalkan, Semih
dc.contributor.authorGüner, Ahmet
dc.contributor.authorUyan, Cihangir
dc.date.accessioned2021-11-01T15:05:42Z
dc.date.available2021-11-01T15:05:42Z
dc.date.issued2021
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground. Early diagnosis of non-ST elevation acute coronary syndrome (NSTEACS) and prediction of the severity of current coronary artery disease (CAD) play a major role in patient prognosis. Electrocardiography has a unique value in the diagnosis and provides prognostic information on patients with NSTE-ACS. In the present study, we aimed to examine the relationship between P wave peak time (PWPT) and the severity of CAD in patientswith NSTE-ACS. Methods. A total of 132 consecutive patients (female: 35.6%; mean age: 60.1 +/- 11.6 years) who were diagnosed with NSTE-ACS were evaluated retrospectively. Gensini scores (GSs) were used to define the angiographic characteristics of the coronary atherosclerotic lesions. The patients were divided into two groups according to the GS. The PWPT was defined as the duration between the beginning and the peak of the P wave, and R wave peak time (RWPT) was defined as the duration between the beginning of the QRS complex and the peak of the R wave. Results. There were 59 (44.6%) patients in the high-GS group (GS =25) and 73 (55.3%) patients in the low-GS group (GS <25). Presence of diabetesmellitus, low left ventricular ejection fraction, and high RWPT and PWPT were identified as predictors of a high GS in the study population. There was no significant difference between the area under the curves of PWPT and RWPT for predicting the severity of CAD (0.663 vs. 0.623, respectively; p= 0.573). Conclusion. The present study found that both PWPT and RWPT on admission electrocardiography were associated with the severity and complexity of CAD in patients with NSTE-ACS.
dc.identifier.citationBayam, E., Yıldırım, E., Kalçık, M., Karaduman, A., Kalkan, S., Güner, A., ... & Uyan, C. (2021). Relationship between P wave peak time and coronary artery disease severity in non-ST elevation acute coronary syndrome. Herz, 46(2), 188-194.
dc.identifier.doi10.1007/s00059-019-04859-1
dc.identifier.endpage194en_US
dc.identifier.issn0340-9937
dc.identifier.issn1615-6692
dc.identifier.issue2en_US
dc.identifier.pmid31578616
dc.identifier.scopus2-s2.0-85073925203
dc.identifier.scopusqualityQ3
dc.identifier.startpage188en_US
dc.identifier.urihttps://doi.org/10.1007/s00059-019-04859-1
dc.identifier.urihttps://hdl.handle.net/11491/7377
dc.identifier.volume46en_US
dc.identifier.wosWOS:000636460400001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKalçık, Macit
dc.language.isoen
dc.publisherUrban & Vogel
dc.relation.ispartofHerz
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectElectrocardiographyen_US
dc.subjectConduction Disturbancesen_US
dc.subjectHeart Diseaseen_US
dc.subjectIschemicen_US
dc.subjectEarly Diagnosisen_US
dc.subjectPrognosisen_US
dc.subjectElektrokardiogrammen_US
dc.subjectLeitungsstorungenen_US
dc.subjectIschamische Herzkrankheiten_US
dc.subjectFruhe Diagnoseen_US
dc.subjectPrognoseen_US
dc.titleRelationship between P wave peak time and coronary artery disease severity in non-ST elevation acute coronary syndrome
dc.typeArticle

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