Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction
Objective To investigate the relationship between dynamic electrocardiogram P-wave sign and new-onset atrial fibrillation (NOAF) in patients with acute myocardial infarction (AMI)(AMI-NOAF). Methods Totally 240 patients with AMI admitted to Wuwei Cancer Hospital were examined by dynamic electrocardi...
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| Формат: | Стаття |
| Мова: | zho |
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Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.
2024-11-01
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| Серія: | Jichu yixue yu linchuang |
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| Онлайн доступ: | https://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-2024-44-11-1569.pdf |
| _version_ | 1826981848055545856 |
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| author | YANG Duojun, LIU Jinghan |
| author_facet | YANG Duojun, LIU Jinghan |
| author_sort | YANG Duojun, LIU Jinghan |
| collection | DOAJ |
| description | Objective To investigate the relationship between dynamic electrocardiogram P-wave sign and new-onset atrial fibrillation (NOAF) in patients with acute myocardial infarction (AMI)(AMI-NOAF). Methods Totally 240 patients with AMI admitted to Wuwei Cancer Hospital were examined by dynamic electrocardiogram. P-wave sign parameters and clinical data of holter electrocardiogram were collected. The relationship between P-wave sign and clinical parameters of AMI patients was analyzed. The patients were divided into NOAF group and nonoccurrence(non-NOAF) group and multivariate Logistic regression model was used to identify the influencing factors of NOAF occurrence in AMI. Results Killip Ⅲ-Ⅳ grade minimum P wave duration (Pmin) level was shorter than that of Ⅰ-Ⅱ grade. Maximum P wave duration (Pmax) and P wave dispersion (Pd) level were higher than that of Ⅰ-Ⅱ grade(P＜0.05). NOAF occurred in 47 of 240 AMI patients (19.58%). The level of Pmin in NOAF group was lower than that in non-NOAF group, and the level of Pmax and Pd in NOAF group was higher than that in non-NOAF group(P＜0.05). The heart rate and the proportion of Killip grade Ⅲ-Ⅳ in NOAF group were higher than those in non-NOAF group(P＜0.05). Multivariate Logistic regression analysis showed that Killip Ⅲ-Ⅳgrade, high level of Pmax and Pd were independent risk factors for NOAF in AMI (P＜0.05). Conclusions The level of Pmin, Pmax and Pd are correlated with Killip grading in AMI patients. AMI-NOAF patients have abnormal P-wave sign in holter electrocardiogram. The high levels of Pmax and Pd are independent risk factors of AMI and NOAF. |
| first_indexed | 2025-02-18T06:10:37Z |
| format | Article |
| id | doaj.art-09f901b8bbdb454cb7b146de37314c1c |
| institution | Directory Open Access Journal |
| issn | 1001-6325 |
| language | zho |
| last_indexed | 2025-02-18T06:10:37Z |
| publishDate | 2024-11-01 |
| publisher | Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College. |
| record_format | Article |
| series | Jichu yixue yu linchuang |
| spelling | doaj.art-09f901b8bbdb454cb7b146de37314c1c2024-11-12T06:26:23ZzhoInstitute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.Jichu yixue yu linchuang1001-63252024-11-0144111569157210.16352/j.issn.1001-6325.2024.11.1569Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarctionYANG Duojun, LIU Jinghan0Department of Cardio-Brain Function, Wuwei Cancer Hospital of Gansu Province, Wuwei 733000, ChinaObjective To investigate the relationship between dynamic electrocardiogram P-wave sign and new-onset atrial fibrillation (NOAF) in patients with acute myocardial infarction (AMI)(AMI-NOAF). Methods Totally 240 patients with AMI admitted to Wuwei Cancer Hospital were examined by dynamic electrocardiogram. P-wave sign parameters and clinical data of holter electrocardiogram were collected. The relationship between P-wave sign and clinical parameters of AMI patients was analyzed. The patients were divided into NOAF group and nonoccurrence(non-NOAF) group and multivariate Logistic regression model was used to identify the influencing factors of NOAF occurrence in AMI. Results Killip Ⅲ-Ⅳ grade minimum P wave duration (Pmin) level was shorter than that of Ⅰ-Ⅱ grade. Maximum P wave duration (Pmax) and P wave dispersion (Pd) level were higher than that of Ⅰ-Ⅱ grade(P＜0.05). NOAF occurred in 47 of 240 AMI patients (19.58%). The level of Pmin in NOAF group was lower than that in non-NOAF group, and the level of Pmax and Pd in NOAF group was higher than that in non-NOAF group(P＜0.05). The heart rate and the proportion of Killip grade Ⅲ-Ⅳ in NOAF group were higher than those in non-NOAF group(P＜0.05). Multivariate Logistic regression analysis showed that Killip Ⅲ-Ⅳgrade, high level of Pmax and Pd were independent risk factors for NOAF in AMI (P＜0.05). Conclusions The level of Pmin, Pmax and Pd are correlated with Killip grading in AMI patients. AMI-NOAF patients have abnormal P-wave sign in holter electrocardiogram. The high levels of Pmax and Pd are independent risk factors of AMI and NOAF.https://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-2024-44-11-1569.pdfacute myocardial infarction|atrial fibrillation|dynamic electrocardiogram|p-wave sign|conduction block |
| spellingShingle | YANG Duojun, LIU Jinghan Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction Jichu yixue yu linchuang acute myocardial infarction|atrial fibrillation|dynamic electrocardiogram|p-wave sign|conduction block |
| title | Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction |
| title_full | Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction |
| title_fullStr | Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction |
| title_full_unstemmed | Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction |
| title_short | Electrocardiogram P-wave sign is related to new-onset atrial fibrillation of patients with acute myocardial infarction |
| title_sort | electrocardiogram p wave sign is related to new onset atrial fibrillation of patients with acute myocardial infarction |
| topic | acute myocardial infarction|atrial fibrillation|dynamic electrocardiogram|p-wave sign|conduction block |
| url | https://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-2024-44-11-1569.pdf |
| work_keys_str_mv | AT yangduojunliujinghan electrocardiogrampwavesignisrelatedtonewonsetatrialfibrillationofpatientswithacutemyocardialinfarction |