Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation

Abstract Background The coarse F waves on the 12‐lead surface electrocardiogram (ECG) in patients with atrial fibrillation (AF) are known as atrial viability and contractility indicator. Our aim in this study was to investigate the effect of coarse F wave on thromboembolism in patients with permanen...

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Main Authors: Yahya Kemal İçen, Hasan Koca, Hilmi Erdem Sümbül, Arafat Yıldırım, Fadime Koca, Abdullah Yıldırım, Mustafa Lutfullah Ardıc, Mükremin Coşkun, Mehmet Uğurlu, Mevlüt Koç
Format: Article
Language:English
Published: Wiley 2020-12-01
Series:Journal of Arrhythmia
Subjects:
Online Access:https://doi.org/10.1002/joa3.12430
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author Yahya Kemal İçen
Hasan Koca
Hilmi Erdem Sümbül
Arafat Yıldırım
Fadime Koca
Abdullah Yıldırım
Mustafa Lutfullah Ardıc
Mükremin Coşkun
Mehmet Uğurlu
Mevlüt Koç
author_facet Yahya Kemal İçen
Hasan Koca
Hilmi Erdem Sümbül
Arafat Yıldırım
Fadime Koca
Abdullah Yıldırım
Mustafa Lutfullah Ardıc
Mükremin Coşkun
Mehmet Uğurlu
Mevlüt Koç
author_sort Yahya Kemal İçen
collection DOAJ
description Abstract Background The coarse F waves on the 12‐lead surface electrocardiogram (ECG) in patients with atrial fibrillation (AF) are known as atrial viability and contractility indicator. Our aim in this study was to investigate the effect of coarse F wave on thromboembolism in patients with permanent AF. Methods In our study, 328 patients with permanent AF were included. Routine laboratory, echocardiographic and electrocardiographic parameters were examined. Cerebrovascular event (CVE) or acute artery occlusion was considered a thromboembolic event. Results In our study, 46 (14.0%) of the patients were found to have thromboembolic events and 282 (86%) of them were found without thromboembolic events. In the group with thromboembolic event, the number of patients with hypertension (HT) (P < .001) and history of coronary artery disease (P = .003) and elderly patients (P < .001) was significantly higher and warfarin use was significantly lower (P = .025). In the group of patients without thromboembolic events, the number of patients with a coarse F wave in surface ECG was significantly lower (P = .001). Age (OR: 1.105, 95% CI: 1.066‐1.145, P < .001), HT (OR: 2.831, 95% CI: 1.266‐6.331, P = .011), and coarse F wave (OR: 0.290, 95% CI: 0.126‐ 0.670, P = .004) were determined as independent variables for thromboembolic events. Conclusion Coarse F wave in 12‐lead surface ECG in patients with permanent AF may be associated with good prognosis.
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spelling doaj.art-741ee606eee44e488b2d0f3e793e5e0d2022-12-21T18:59:55ZengWileyJournal of Arrhythmia1880-42761883-21482020-12-013661025103110.1002/joa3.12430Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillationYahya Kemal İçen0Hasan Koca1Hilmi Erdem Sümbül2Arafat Yıldırım3Fadime Koca4Abdullah Yıldırım5Mustafa Lutfullah Ardıc6Mükremin Coşkun7Mehmet Uğurlu8Mevlüt Koç9Department of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Internal Medicine University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyGöksun State Hospital Cardiology Department Kahramanmaraş TurkeyDepartment of Cardiology University of Health Sciences ‐ Adana Health Practice and Research Center Adana TurkeyAbstract Background The coarse F waves on the 12‐lead surface electrocardiogram (ECG) in patients with atrial fibrillation (AF) are known as atrial viability and contractility indicator. Our aim in this study was to investigate the effect of coarse F wave on thromboembolism in patients with permanent AF. Methods In our study, 328 patients with permanent AF were included. Routine laboratory, echocardiographic and electrocardiographic parameters were examined. Cerebrovascular event (CVE) or acute artery occlusion was considered a thromboembolic event. Results In our study, 46 (14.0%) of the patients were found to have thromboembolic events and 282 (86%) of them were found without thromboembolic events. In the group with thromboembolic event, the number of patients with hypertension (HT) (P < .001) and history of coronary artery disease (P = .003) and elderly patients (P < .001) was significantly higher and warfarin use was significantly lower (P = .025). In the group of patients without thromboembolic events, the number of patients with a coarse F wave in surface ECG was significantly lower (P = .001). Age (OR: 1.105, 95% CI: 1.066‐1.145, P < .001), HT (OR: 2.831, 95% CI: 1.266‐6.331, P = .011), and coarse F wave (OR: 0.290, 95% CI: 0.126‐ 0.670, P = .004) were determined as independent variables for thromboembolic events. Conclusion Coarse F wave in 12‐lead surface ECG in patients with permanent AF may be associated with good prognosis.https://doi.org/10.1002/joa3.12430atrial fibrillationelectrocardiographyleft atriummorbiditythromboembolism
spellingShingle Yahya Kemal İçen
Hasan Koca
Hilmi Erdem Sümbül
Arafat Yıldırım
Fadime Koca
Abdullah Yıldırım
Mustafa Lutfullah Ardıc
Mükremin Coşkun
Mehmet Uğurlu
Mevlüt Koç
Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
Journal of Arrhythmia
atrial fibrillation
electrocardiography
left atrium
morbidity
thromboembolism
title Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
title_full Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
title_fullStr Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
title_full_unstemmed Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
title_short Relationship between coarse F waves and thromboembolic events in patients with permanent atrial fibrillation
title_sort relationship between coarse f waves and thromboembolic events in patients with permanent atrial fibrillation
topic atrial fibrillation
electrocardiography
left atrium
morbidity
thromboembolism
url https://doi.org/10.1002/joa3.12430
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