The Short-term Impact of Percutaneous Device Closure of Secundum Atrial Septal Defects on P wave dispersion and Atrial Electromechanical Delay. | ||||
Zagazig University Medical Journal | ||||
Article 190, Volume 27, Issue 5, September 2021, Page 839-846 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/zumj.2019.15221.1368 | ||||
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Authors | ||||
mohammed EL Saadawy 1; Salwa mohammed ghoneim2; marwa gad2; Omar mohammed Farid2 | ||||
1El Sharkia , Zagazig, Zagazig university hospitals, Sednawy Sector, Chest and heart hospital, cardiology departement | ||||
2Cardiology department, faculty of medicine, zagazig university, sharkia, egypt | ||||
Abstract | ||||
Background: In patients with ASDs There’re significant LA remodeling as result of chronic LA stretch and dilatation which occurs in addition to the longstanding right atrial volume overload. These structural changes result in electromechanical and electrophysiological changes. The prolonged atrial electromechanical delay also the non-hemogenous spread of sinus impulse which represented as dispersion in P wave duration are considered electrophysiological characteristics atrial fibrillation. Aim: to compare atrial electromechanical delay by means of tissue doppler echocardiography and P wave dispersion on surface ECG before and three months after transcatheter ASD closure. Patients and methods: we prospectively evaluated the short-term effect of transcatheter closure of secundum ASD patients on electromechanical delay by tissue doppler echocardiography and on P wave dispersion by surface ECG. Results: There was significant increase in LVEDD and LVESD after device closure (P value | ||||
Keywords | ||||
Device closure; P wave dispersion; Tissue Doppler; Electromechanical Delay | ||||
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