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Title: Evaluation of P-wave dispersion in patients with newly diagnosed coronavirus disease 2019
Authors: Yenercag, Mustafa
Arslan, Ugur
Seker, Onur O.
Dereli, Seckin
Kaya, Ahmet
Dogdus, Mustafa
Ozturk, Cagatay E.
Akpinar, Cetin K.
Sen, Ahmet
Ordu Üniversitesi
atrial fibrillation; coronavirus disease 2019; P-wave dispersion; severe acute respiratory syndrome-coronavirus-2
Issue Date: 2021
Citation: Yenercag, M., Arslan, U., Seker, OO., Dereli, S., Kaya, A., Dogdus, M., Ozturk, CE., Akpinar, CK., Sen, A. (2021). Evaluation of P-wave dispersion in patients with newly diagnosed coronavirus disease 2019. Journal of Cardiovascular Medicine, 22(3), 197-203.Doi:10.2459/JCM.0000000000001135
Abstract: Aim The aim of the current study was to evaluate P-wave dispersion (PWD) as a predictor of atrial fibrillation in patients with newly diagnosed COVID-19. In addition, the relationship between the PWD and inflammation parameters was investigated. Methods A total of 140 newly diagnosed COVID-19 patients and 140 age- and sex-matched healthy individuals were included in the study. The risk of atrial fibrillation was evaluated by calculating the electrocardiographic PWD. C-reactive protein (CRP), white blood cell, neutrophil and neutrophil-to-lymphocyte ratio (NLR) were measured in patients with newly diagnosed COVID-19. Results PWD, white blood cell, NLR and CRP levels were significantly higher in the COVID-19 group than the control group. There was a significant positive correlation between PWD and CRP level (rs = 0.510, P < 0.001) and NLR in COVID-19 group (rs = 0.302, P = 0.001). In their follow-up, 13 (9.3%) patients, 11 of whom were in the ICU, developed new atrial fibrillation. Conclusion Our study showed for the first time in literature that the PWD, evaluated electrocardiographically in patients with newly diagnosed COVID-19, was prolonged compared with normal healthy individuals. A positive correlation was found between PWD, CRP level and NLR. We believe that pretreatment evaluation of PWD in patients with newly diagnosed COVID-19 would be beneficial for predicting atrial fibrillation risk.
Description: WoS Categories : Cardiac & Cardiovascular Systems Web of Science Index : Science Citation Index Expanded (SCI-EXPANDED) Research Areas : Cardiovascular System & Cardiology Open Access Designations : Bronze
ISBN: 1558-2027
Appears in Collections:Dahili Tıp Bilimleri

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