P-wave duration and dispersion in patients with peripheral edema and its amelioration

Indian Pacing and Electrophysiology Journal

Volumn 7, Issue 1, 2007, Pages 7-18

  Madias, John E ^a,b  

^a NEW YORK UNIVERSITY   (United States)

^b ELMHURST HOSPITAL CENTER   (United States)

Author keywords

Congestive heart failure; Electrocardiology; Electrophysiology; Hemodialysis; Low voltage ECG; P wave dispersion; P wave duration; Peripheral edema

Indexed keywords

AMPLITUDE MODULATION; ARTICLE; ATTENUATION; CLINICAL ARTICLE; COMPUTER PROGRAM; CONTROLLED STUDY; CORRELATION ANALYSIS; ELECTROCARDIOGRAPHY; HEART ELECTROPHYSIOLOGY; HUMAN; P WAVE; PERIPHERAL EDEMA; QRS COMPLEX; WEIGHT GAIN; WEIGHT REDUCTION;

EID: 33846287996     PISSN: None     EISSN: 09726292     Source Type: Journal    
DOI: None     Document Type: Article

References (57)

1. Madias JE. P-waves in patients with changing edematous states: Implications on interpreting repeat P-wave measurements in patients developing anasarca or undergoing hemodialysis. Pacing and Clin Electrophysiol 2004;27:749-56.
2. Madias JE. Significance of shortening of the mean QRS duration of the standard electrocardiogram in patients developing peripheral edema. Am J Cardiol 2002;89:1444-6.
3. Hewlett-Packard Interpretive Cardiograph. Physician's Guide. HP Part No. M1700-92908, Edition 4, Printed in USA. 1994, pp 4-1, 5-1, 7-1, 7-10.
4. Dogan A, Acar G, Gedikli O, et al. A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation. J Electrocardiol 2003; 36:251-5.
5. Chandy J, Nakai T, Lee RJ, et al. Increases in P-wave dispersion predict postoperative atrial fibrillation after coronary artery bypass graft surgery. Anesth Analg 2004; 98:303-10.
6. Dilaveris PE, Gialafos EJ, Chrissos D, et al. Detection of hypertensive patients at risk for paroxysmal atrial fibrillation during sinus rhythm by computer-assisted P-wave analysis. J Hypertens 1999; 17:1463-70.
7. Turhan H, Yetkin E, Atak R, et al. Increased P-wave duration and P-wave dispersion in patients with aortic stenosis. Ann Noninvasive Electrocardiol 2003; 8:18-21.
8. Dilaveris PE, Gialafos EJ, Sideris SK, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998; 135:733-8
9. Dilaveris PE, Gialafos JE. P-wave duration and dispersion analysis: Methodological considerations. (letter to the Editor) Circulation. 2001; 103:e111.
10. Fan K, Lee KL, Chiu CS, et al. Effects of biatrial pacing in prevention of postoperative atrial fibrillation after coronary artery bypass surgery. Circulation 2000; 102:755-60.
11. Andrikopoulos GK, Dilaveris PE, Richter DJ. Increased variance of P wave duration on the electrocardiogram distinguishes patients with idiopathic paroxysmal atrial fibrillation. Pacing Clin Electrophysiol. 2000; 23:1127-32.
12. Dilaveris PE, Gialafos JE. P-wave dispersion: a novel predictor of paroxysmal atrial fibrillation. Ann Noninvasive Electrocardiol 2001; 6:159-65.
13. Dilaveris PE, Gialafos EJ, Andrikopoulos GK. Clinical and electrocardiographic predictors of recurrent atrial fibrillation. Pacing Clin Electrophysiol 2000; 23:352-8.
14. Dilaveris PE, Andrikopoulos GK, Metaxas G. Effects of ischemia on P wave dispersion and maximum P wave duration during spontaneous anginal episodes. Pacing Clin Electrophysiol 1999; 22:1640-7.
15. Dilaveris PE, Gialafos JE. P-wave dispersion: a novel predictor of paroxysmal atrial fibrillation. Ann Noninvasive Electrocardiol 2001; 6:159-65.
16. Tsikouris JP, Kluger J, Song J, Changes in P-wave dispersion and P-wave duration after open heart surgery are associated with the peak incidence of atrial fibrillation. Heart Lung 2001; 30:466-71
17. Aytemir K, Ozer N, Atalar E, et al. P wave dispersion on 12-lead electrocardiography in patients with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 2000; 23:1109-12.
18. Ozer N, Ayetemir K, Atalar E, et al. P-wave dispersion in hypertensive patients with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 2000; 23:1859.
19. Ciaroni S, Cuenoud L, Bloch A. Clinical study to investigate the predictive parameters for the onset of atrial fibrillation in patients with essential hypertension. Am Heart J 2000;139: 814-9.
20. Passman R, Beshai J, Pavri B, et al. Predicting post-operative bypass surgery atrial arrhythmias from the preoperative electrocardiogram. Am Heart J 2001; 142:806-10.
21. Chang CM, Lee SH, Lu MJ, et al. The role of P-wave in prediction of atrial fibrillation after coronary artery surgery. Int J Cardiol 1999; 68:303-8.
22. Tukek T, Akkaya V, Atilgan D, et al. Effect of left atrial size and function on P-wave dispersion: a study in patients with paroxysmal atrial fibrillation. Clin Cardiol 2001; 24:676.
23. Amar D, Shi W, Hogue CW, et al. Clinical prediction rule for atrial fibrillation after coronary artery bypass grafting. J Am Coll Cardiol 2004; 44: 1248-53.
24. Zaman AG, Alamgir F, Richens T, et al. The role of signal averaged P wave duration and serum magnesium as a combined predictor of atrial fibrillation after elective coronary artery bypass surgery. Heart 1997;77:527-31.
25. Stafford PJ, Kolvekar S, Cooper J, et al. Signal averaged P wave compared with standard electrocardiography or echocardiography for prediction of atrial fibrillation after coronary bypass grafting. Heart 1997; 77:417-22.
26. Klein M, Evans SJ, Blumberg S, et al. Use of P-wave-triggered, P-wave signal-averaged electrocardiogram to predict atrial fibrillation after coronary artery bypass surgery. Am Heart J 1995;129: 895-901.
27. Steinberg JS, Zelenkofske S, Wong SC, et al. Value of the P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation 1993; 88:2618-22.
28. Song J, Kalus JS, Caron MF, Kluger J, White CM. Effects of diuresis on P-wave duration and dispersion. Pharmacotherapy 2002; 22:564-8.
29. Faggiano P, D'Aloia A, Zanelli E, et al. Contribution of left atrial pressure and dimension to signal-averaged P-wave duration in patients with chronic congestive heart failure. Am J Cardiol 1997; 79:219-22.
30. Szabo Z, Kakuk G, Fulop T, et al. Effects of haemodialysis on maximum P wave duration and P wave dispersion. Nephrol Dial Transplant 2002; 17:1634-8.
31. Tezcan, UK, Amasyali B, Can I, et al. Increased P wave dispersion and maximum P wave duration after hemodialysis. Ann Noninvasive Electrocardiol 2004; 9:34-8.
32. Madias JE, Bazaz R, Agarwal H, et al. Anasarca-mediated attenuation of the amplitude of ECG complexes: a description of a heretofore unrecognized phenomenon. J Am Coll Cardiol 2001; 38:756-64.
33. Gialafos EJ, Dilaveris PE, Synetos AG, et al. P wave analysis indices in young healthy men: data from the digital electrocardiographic study in Hellenic Air Force Servicemen (DEHAS). Pacing Clin Electrophysiol. 2003; 26:367-72.
34. Dilaveris PE, Farbom P, Batchvarov V, et al. Circadian behavior of P-wave duration, P-wave area, and PR interval in healthy subjects. Ann Noninvasive Electrocardiol 2001; 6:92-7.
35. Willems JL, Arnaud P, Van Bemmel JH, et al. Assessment of the performance of electrocardiographic computer programs with the use of a referencedata base. Circulation 1985;71:523-34.
36. Willems JL, Arnaud P, Van Bemmel JH, et al. Common standars for quantitative electrocardiography: Goals and main results. Meth Inform Med 1990;29:263-71.
37. Norusis MJ. The SPSS Guide to Data Analysis for PDD/PC+, 2nd Edition Chicago IL, 1991, pp. 218, 311,230,231, 244, 344
38. Colton T. Statistics in Medicine, First Edition, Little, Brown and Company, Boston, 1974, pp. 11, 39,120, 130,136,163,169,174,189
39. Giri S, White CM, Dunn AB, et al. Oral amiodarone for prevention of atrial fibrillation after open heart surgerythe atrial fibrillation suppression trial (AFIST): a randomized placebo-controlled trial. Lancet 2001;357:830-6.
40. Cheema AN, Ahmed MW, Kadish AH, et al. Effects of autonomic stimulation and blockade on signal-averaged P-wave duration. J Am Coll Cardiol 1995; 26:497.
41. Banasiak W, Telichowski A, Anker SD, et al. Effects of amiodarone on the P-wave triggered signal averaged electrocardiogram in atients with paroxysmal atrial fibrillation and coronary artery disease. Am J Cardiol 1999; 83:112.
42. Vitolo E, Madoi S, Palvarini M, et al: Relationship between changes in R wave voltage and cardiac volumes. A vectorcardiographic study during hemodialysis. J Electrocardiol 1987; 20:138.
43. Fuenmayor AJ, Vasquez CJ, Fuenmayor AM, et al: Hemodialysis changes the QRS amplitude in the electrocardiogram. Int J Cardiol 1993; 41:141.
44. Kinoshita O, Kimura G, Kamakura S, et al: Effects of hemodialysis on body surface maps in patients with chronic renal failure. Nephron 1993; 64:580.
45. Ojanen S, Koobi T, Korhonen P, et al: QRS amplitude and volume changes during hemodialysis. Am J Nephrol 1999; 19:423.
46. Madias JE, Narayan V. Augmentation of the amplitude of electrocardiographic QRS complexes immediately after hemodialysis: a study of 26 hemodialysis sessions of a single patient, aided by measurements of resistance, reactance, and impedance. J Electrocardiol 2003; 36:263-71.
47. Ishikawa K, Berson AS, Pipberger HW. Electrocardiographic changes due to cardiac enlargement. Am Heart J 1971; 81:635-43.
48. Madias JE, Agarwal H, Win M, Medepalli L. Effect of weight loss in congestive heart failure from idiopathic dilated cardiomyopathy on electrocardiographic QRS voltage. Am J Cardiol 2002; 89: 86-8.
49. Madias JE, Attanti S, Narayan V. Relationship among electrocardiographic potential amplitude, weight, and resistance/reactance/impedance in a patient with peripheral edema treated for congestive heart failure. J Electrocardiol 2003; 36:167.
50. Madias JE. Increase in the QRS duration after amelioration of peripheral edema or after hemodialysis. Congestive Heart Failure (in press).
51. Madias JE, Narayan V, Attari M: Detection of P-waves via a "saline-filled central venous catheter ECG lead" in patients with low ECG voltage due to anasarca. Amer J Cardiol 2003; 91:910-4.
52. Geddes LA, Baker LE: The specific resistance of biological material-a compendium of data for the biomedical engineer and physiologist. Med Biol Engng 1967; 5:271.
53. Lepeschkin E. Physiological influences on transfer factors between heart currents and body surface potentials, in The theoretical basis of electrocardiology Edited by C.V.Nelson and D.B. Geselowitz, Clarendon Press Oxford, 1976, p. 135.
54. Macfarlane PW, Vetch Lawrie TD: Comprehensive Electrocardiology. Pergamon Press, New York, 1989 pp 197, 291, 449.
55. Rudy Y. The electrocardiogram and its relationship to excitation of the heart, In Physiology and Pathophysiology of the Heart. Sperelakis N (Editor) Third Edition 1995 Kluwer Academic Publishers, p 20.
56. Rudy Y, Plonsey R. The eccentric model as the basis for the study of the role of geometry and inhomogeneities in electrocardiography. IEEE Trans Biomed Eng 1979; 26:392.
57. Rudy Y, Plonsey R: A comparison of volume conductor and source geometry effects on body surface and epicardial potentials. Circ Res 1980; 46:283.