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The predictive value of P-wave dispersion on the prognosis and complication of paroxysmal atrial fibrillation for cerebral apoplexy patients |
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Abstract Objective To investigate the predictive value of P-wave dispersion on the prognosis and paroxysmal atrial fibrillation(PAF) of cerebral apoplexy patients.MethodsSeventytwo patients with cerebral apoplexy were enrolled in the research, among whom 36 cases with PAF and another 36 cases without PAF were separately regarded as group A and group B. Both of the two groups underwent 12 lead electrocardiogram(ECG), colored Doppler echocardiography and 24hour Holter inspection, with the maximum P-wave duration (Pmax), the minimum P-wave duration(Pmin) measured and P-wave dispersion(Pd), left atrial diameter(LAD) and left ventricular ejection fraction(LVEF) calculated. The results were statistically analyzed by PEMS 3.1 for Windows.ResultsBetween the two groups, it revealed significant statistical differences in Pmax, Pd, LAD, LVEF and the number of cases of atrial premature beats as well as paroxysmal atrial tachycardia(P<0.05).ConclusionP-wave dispersion serves as a reliable marker for predicting the complication of paroxysmal atrial fibrillation for patients with cerebral apoplexy and is also significant for prognosis observation in some extent.
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[1] 肖淑萍,马英文,朱海英,等.急性缺血性脑卒中患者r-谷氨酰转肽酶与颈动脉粥样硬化的相关性研究[J].中国全科医学,2011,14(10B):3315-3317.[2] 张亚男,马津全,王舒. 钾通道与缺血性脑损伤的研究进展[J].中国脑血管病杂志,2012,9(4):217-220.[3] 吴蔚,杨希立,郑玲,等.脑卒中患者动态心电图长RR间期的临床意义[J].临床心电学杂志,2013,22(2):119-120.[4] Dilaveris PE,Gialafos JE.Pwave dispersion:a novel predictor of paroxysmal atrial fibrillation[J]. Ann Noninvasive Electrocardiol,2001,6(2):159-165.[5] Yazici M,Ozdemir K,Altunkeser BB,et al. The effect of diabetes mellitus on the Pwave dispersion[J].Circ J,2007,71(6):880-883.[6] 郭继鸿. P波离散度[J].临床心电学杂志,1999,8(3):189-192.[7] 庞伦祥,梁永华.P波离散度及最大时限与阵发性心房颤动及房性心律失常的关系[J].实用临床医学,2003,4(3):66-67. |
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