Assessment of the efficacy of the electrocardiographic P-wave peak time in predicting atrial high rate episode in patients with cardiac implantable electronic devices

The incidence of atrial high-rate episode (AHRE) is high among patients with cardiac implantable electronic devices (CIEDs). In this context, the objective of this study is to evaluate the efficacies of P-wave indices (PWIs) obtained from the surface electrocardiography (ECG) in predicting future AH...

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Bibliographic Details
Published in:Journal of electrocardiology 2023-09, Vol.80, p.40-44
Main Authors: Karakayali, Muammer, Artac, Inanç, Omar, Timor, Rencuzogullari, Ibrahim, Karabag, Yavuz, Hamideyin, Serif
Format: Article
Language:English
Subjects:
Atrial high-rate episode
Cardiac implantable electronic device
Electrocardiography
P-wave indices
P-wave peak time
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Summary:The incidence of atrial high-rate episode (AHRE) is high among patients with cardiac implantable electronic devices (CIEDs). In this context, the objective of this study is to evaluate the efficacies of P-wave indices (PWIs) obtained from the surface electrocardiography (ECG) in predicting future AHRE development. The study sample consisted of 158 patients with CIEDs. The study group was divided into two subgroups according to the presence of AHRE during device interrogation. PWIs were calculated using the surface ECG. There was no significant difference between the groups in the P-wave indices (PWIs), i.e., minimum P-wave duration (PWDmin), maximum P-wave duration (PWDmax) and P-wave dispersion (PWDIS). On the other hand, P-wave peak time in V1 lead (PWTV1) and P-wave peak time in D2 lead (PWPTD2) were significantly higher in the AHRE group than in the non-AHRE group. The study findings revealed that novel ECG parameters PWPTV1 and PWPTD2 had high prognostic value in predicting patients likely to develop AHRE. •AHRE is defined as atrial rates greater than 200-250 beats/min with durations longer than 5 minute, and have been found significantly correlated with future clinical AF and ischemic stroke.•The incidence of atrial high-rate episode (AHRE) is high among patients with cardiac implantable electronic devices (CIEDs).•The novel ECG parameters PWPTV1 and PWPTD2 had high prognostic value in predicting patients likely to develop AHRE.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2023.05.001