Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/15301 |
Resumo: | Introduction: Studies show that p-wave dispersion and left atrial ejection fraction are predictors of cardiovascular events. Purpose: To verify the association of p-wave dispersion and left atrial ejection fraction with cardioembolic ischemic stroke. Methods: This is an observational, cross-sectional, case-control study with 61 patients, mean age of 65.6, with sinus rhythm ischemic stroke who underwent clinical evaluation with CHA2DS2-VASc score, electrocardiogram, echocardiogram and ultrasonography with Doppler of both carotid and vertebral arteries. The groups were divided into cardioembolic (cases) and non-cardioembolic (controls). The p-wave dispersion was obtained with a 12-lead electrocardiographic tracing at 50 mm/s by subtracting the largest p-wave by the smallest one. Left atrial ejection fraction was obtained using the modified biplane Simpson method. This study was approved by the UERN Research Ethics Committee (# 2,536,483). Results: Mean values for p-wave dispersion were 62.5 ms for cases and 49 ms for controls (p = 0.025). For left atrial ejection fraction, the cases presented a mean of 42.9% and the controls a mean of 55.8% (p = 0.003). For the CHA2DS2-VASc score, the mean values were 3.6 and 3.1 for cases and controls, respectively (p = 0.35). Cardiovascular risk factors showed similar distribution in both groups. Conclusion: p-wave dispersion and left atrial ejection fraction were associated with the cardioembolic patients with sinus rhythm that have gone through ischemic stroke. |
id |
UNIFEI_f447634ed374412b02e52ee8f13f0825 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/15301 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic StrokeEvaluación de la Dispersión de onda p y Fracción de Eyección del Atrio Izquierdo en Pacientes con Accidente Vascular Isquémico CardioembólicoAvaliação da Dispersão da onda p e da Fração de Ejeção do Átrio Esquerdo em Pacientes com Acidente Vascular Encefálico Isquêmico CardioembólicoAcidente vascular encefálicoonda pFunção atrial.Accidente cerebrovascular isquémicoonda pFunción auricular.Strokep-waveAtrial function.Introduction: Studies show that p-wave dispersion and left atrial ejection fraction are predictors of cardiovascular events. Purpose: To verify the association of p-wave dispersion and left atrial ejection fraction with cardioembolic ischemic stroke. Methods: This is an observational, cross-sectional, case-control study with 61 patients, mean age of 65.6, with sinus rhythm ischemic stroke who underwent clinical evaluation with CHA2DS2-VASc score, electrocardiogram, echocardiogram and ultrasonography with Doppler of both carotid and vertebral arteries. The groups were divided into cardioembolic (cases) and non-cardioembolic (controls). The p-wave dispersion was obtained with a 12-lead electrocardiographic tracing at 50 mm/s by subtracting the largest p-wave by the smallest one. Left atrial ejection fraction was obtained using the modified biplane Simpson method. This study was approved by the UERN Research Ethics Committee (# 2,536,483). Results: Mean values for p-wave dispersion were 62.5 ms for cases and 49 ms for controls (p = 0.025). For left atrial ejection fraction, the cases presented a mean of 42.9% and the controls a mean of 55.8% (p = 0.003). For the CHA2DS2-VASc score, the mean values were 3.6 and 3.1 for cases and controls, respectively (p = 0.35). Cardiovascular risk factors showed similar distribution in both groups. Conclusion: p-wave dispersion and left atrial ejection fraction were associated with the cardioembolic patients with sinus rhythm that have gone through ischemic stroke.Introducción: Los estudios demuestran que la dispersión de la onda p y la fracción de eyección de la aurícula izquierda son predictores de eventos cardiovasculares. Objetivos: Verificar la asociación entre la dispersión de la onda p y la fracción de eyección de la aurícula izquierda con el Accidente cerebrovascular isquémico cardioembólico. Métodos: Se trata de un estudio observacional, transversal y de casos y controles, con 61 pacientes, edad media 65,6 años, con ictus isquémico en ritmo sinusal, sometidos a evaluación clínica, con determinación del score CHA2DS2-VASc, electrocardiograma, ecocardiograma y Ecografía Doppler de arterias carótidas y vertebrales. Los grupos se asignaron como cardioembólicos (casos) y no cardioembólicos (controles). La dispersión de la onda p se obtuvo con la velocidad del trazado electrocardiográfico de 12 derivaciones a 50 mm/s, restando entre la onda p más grande y la más pequeña. La fracción de eyección de la aurícula izquierda se obtuvo mediante el método biplano de Simpson modificado. Aprobado por el comité de ética e investigación de la UERN con el número 2.536.483. Resultados: Los valores medios de la dispersión de la onda p fueron 62,5 ms para los casos y 49 ms para los controles (p = 0,025). Para la fracción de eyección de la aurícula izquierda, los casos presentaron una media del 42,9% y los controles, el 55,8% (p = 0,003). Para la puntuación CHA2DS2-VASc, los valores medios fueron 3,6 y 3,1 para los casos y controles, respectivamente (p = 0,35). Los factores de riesgo cardiovascular mostraron una distribución similar en los 2 grupos. Conclusión: en pacientes con ritmo sinusal afectado por ictus isquémico, la dispersión de la onda p y la fracción de eyección auricular izquierda mostraron asociación con el subtipo cardioembólico.Introdução: Estudos demonstram que a dispersão da onda p e a fração de ejeção do átrio esquerdo são preditores de eventos cardiovasculares. Objetivos: Verificar a associação da dispersão da onda p e da fração de ejeção do átrio esquerdo com o acidente vascular isquêmico cardioembólico. Métodos: Trata-se de um estudo observacional, transversal e caso-controle, com 61 pacientes, idade média de 65,6 anos, com acidente vascular encefálico isquêmico em ritmo sinusal, submetidos à avaliação clínica, com determinação do escore de CHA2DS2-VASc, eletrocardiograma, ecocardiograma e ultrasonografia com Doppler de artérias carótidas e vertebrais. Os grupos foram alocados como cardioembólicos (casos) e não cardioembólicos (controles). A dispersão da onda p foi obtida com velocidade do traçado eletrocardiográfico de 12 derivações em 50 mm/s, através da subtração entre a maior e a menor onda p. A fração de ejeção do átrio esquerdo foi obtida através do método de Simpson biplanar modificado. Aprovado no comitê de ética e pesquisa da UERN com o número 2.536.483. Resultados: Os valores médios da dispersão da onda p foram de 62,5 ms para os casos e 49 ms para os controles (p=0,025). Para fração de ejeção do átrio esquerdo os casos apresentaram média de 42,9% e os controles de 55,8% (p=0,003). Para o escore de CHA2DS2-VASc os valores médios foram de 3,6 e 3,1 para os casos e controles, respectivamente (p=0,35). Os fatores de risco cardiovascular mostraram distribuição semelhante nos 2 grupos. Conclusão: Nos pacientes em ritmo sinusal acometidos de acidente vascular encefálico isquêmico, a dispersão da onda p e a fração de ejeção do átrio esquerdo mostraram associação com o subtipo cardioembólico.Research, Society and Development2021-05-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1530110.33448/rsd-v10i6.15301Research, Society and Development; Vol. 10 No. 6; e2810615301Research, Society and Development; Vol. 10 Núm. 6; e2810615301Research, Society and Development; v. 10 n. 6; e28106153012525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/15301/13817Copyright (c) 2021 Flávio Henrique Amaral Pires Véras; Eduardo Pereira de Azevedo; Eudes Euler de Souza Lucena; Francisco Irochima Pinheiro; José Rodolfo Lopes de Paiva; Stephan Barisic Júnior; Fausto Pierdoná Guzenhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVéras, Flávio Henrique Amaral Pires Azevedo, Eduardo Pereira de Lucena, Eudes Euler de Souza Pinheiro, Francisco Irochima Paiva, José Rodolfo Lopes de Barisic Júnior, StephanGuzen, Fausto Pierdoná2021-06-10T22:51:46Zoai:ojs.pkp.sfu.ca:article/15301Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:36:09.614288Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke Evaluación de la Dispersión de onda p y Fracción de Eyección del Atrio Izquierdo en Pacientes con Accidente Vascular Isquémico Cardioembólico Avaliação da Dispersão da onda p e da Fração de Ejeção do Átrio Esquerdo em Pacientes com Acidente Vascular Encefálico Isquêmico Cardioembólico |
title |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
spellingShingle |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke Véras, Flávio Henrique Amaral Pires Acidente vascular encefálico onda p Função atrial. Accidente cerebrovascular isquémico onda p Función auricular. Stroke p-wave Atrial function. |
title_short |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
title_full |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
title_fullStr |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
title_full_unstemmed |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
title_sort |
Evaluation of p-wave Dispersion and Left Atrium Ejection Fraction in Patients with Cardioembolic Ischemic Stroke |
author |
Véras, Flávio Henrique Amaral Pires |
author_facet |
Véras, Flávio Henrique Amaral Pires Azevedo, Eduardo Pereira de Lucena, Eudes Euler de Souza Pinheiro, Francisco Irochima Paiva, José Rodolfo Lopes de Barisic Júnior, Stephan Guzen, Fausto Pierdoná |
author_role |
author |
author2 |
Azevedo, Eduardo Pereira de Lucena, Eudes Euler de Souza Pinheiro, Francisco Irochima Paiva, José Rodolfo Lopes de Barisic Júnior, Stephan Guzen, Fausto Pierdoná |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Véras, Flávio Henrique Amaral Pires Azevedo, Eduardo Pereira de Lucena, Eudes Euler de Souza Pinheiro, Francisco Irochima Paiva, José Rodolfo Lopes de Barisic Júnior, Stephan Guzen, Fausto Pierdoná |
dc.subject.por.fl_str_mv |
Acidente vascular encefálico onda p Função atrial. Accidente cerebrovascular isquémico onda p Función auricular. Stroke p-wave Atrial function. |
topic |
Acidente vascular encefálico onda p Função atrial. Accidente cerebrovascular isquémico onda p Función auricular. Stroke p-wave Atrial function. |
description |
Introduction: Studies show that p-wave dispersion and left atrial ejection fraction are predictors of cardiovascular events. Purpose: To verify the association of p-wave dispersion and left atrial ejection fraction with cardioembolic ischemic stroke. Methods: This is an observational, cross-sectional, case-control study with 61 patients, mean age of 65.6, with sinus rhythm ischemic stroke who underwent clinical evaluation with CHA2DS2-VASc score, electrocardiogram, echocardiogram and ultrasonography with Doppler of both carotid and vertebral arteries. The groups were divided into cardioembolic (cases) and non-cardioembolic (controls). The p-wave dispersion was obtained with a 12-lead electrocardiographic tracing at 50 mm/s by subtracting the largest p-wave by the smallest one. Left atrial ejection fraction was obtained using the modified biplane Simpson method. This study was approved by the UERN Research Ethics Committee (# 2,536,483). Results: Mean values for p-wave dispersion were 62.5 ms for cases and 49 ms for controls (p = 0.025). For left atrial ejection fraction, the cases presented a mean of 42.9% and the controls a mean of 55.8% (p = 0.003). For the CHA2DS2-VASc score, the mean values were 3.6 and 3.1 for cases and controls, respectively (p = 0.35). Cardiovascular risk factors showed similar distribution in both groups. Conclusion: p-wave dispersion and left atrial ejection fraction were associated with the cardioembolic patients with sinus rhythm that have gone through ischemic stroke. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15301 10.33448/rsd-v10i6.15301 |
url |
https://rsdjournal.org/index.php/rsd/article/view/15301 |
identifier_str_mv |
10.33448/rsd-v10i6.15301 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15301/13817 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 6; e2810615301 Research, Society and Development; Vol. 10 Núm. 6; e2810615301 Research, Society and Development; v. 10 n. 6; e2810615301 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052749359087616 |