P-wave and QT interval dispersion analysis in children with Eisenmenger syndrome

Objectives: P-wave and QT dispersion are increased and associated with atrial and ventricular arrhythmia and an increase in sudden death in a variety of diseases. This study aimed to investigate P-wave and QT dispersion in children with Eisenmenger syndrome (ES). Study design: The study group included 27 children (15 females, 12 males) with both congenital heart disease (CHD) and ES. The control group consisted of 30 children with CHD without pulmonary arterial hypertension. Electrocardiographic records were used to determine P-wave, QT, and corrected QT (QTc) dispersions. 24-hour (h) rhythm Holter was fitted in all patients. Atrial volumes, ventricular dimensions and tricuspid annular plane systolic excursion (TAPSE) were measured by echocardiography. Results: There was no difference between groups with regard to age, sex, weight, and body surface area (p<0.05). Right atrial volume was significantly larger in the ES group than in the control group. P-wave, QT and QTc dispersions were higher in the patients with ES (50.10+-11.12 vs. 26.32+-8.90, p<0.001; 57.40+-24.21 vs. 38.20+-8.92 ms, p<0.001; and 78.20+-16.02 vs. 56.52+-13.92 ms, p<0.001, respectively). Ventricular and supraventricular ectopy were significantly more frequent in the ES group. Four patients (14.8%) in the study group had tachyarrhythmias during 24-h Holter monitoring. Conclusion: In our study, P-wave and QT dispersion were found to be greater in children with ES than in the healthy control subjects..

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Türk Kardiyoloji Derneği Arşivi - 42(2014), 2, Seite 154-160

Sprache:

Englisch ; Türkisch

Beteiligte Personen:

İbrahim Ece [VerfasserIn]
Abdurrahman Üner [VerfasserIn]
Şevket Ballı [VerfasserIn]
Mehmet Burhan Oflaz [VerfasserIn]
Ayşe Esin Kibar [VerfasserIn]
Ertan Sal [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
jag.journalagent.com [kostenfrei]
Journal toc [kostenfrei]

Themen:

Arrhythmias
Cardiac/physiopathology
Diseases of the circulatory (Cardiovascular) system
Heart catheterization; child; echocardiography; eisenmenger complex/complications; electrocardiography; hypertension
Internal medicine
Medicine
Pulmonary.
R

doi:

10.5543/tkda.2014.68704

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ055962416