PMID- 31578616
OWN - NLM
STAT- MEDLINE
DCOM- 20210318
LR  - 20220421
IS  - 1615-6692 (Electronic)
IS  - 0340-9937 (Linking)
VI  - 46
IP  - 2
DP  - 2021 Mar
TI  - Relationship between P wave peak time and coronary artery disease severity in 
      non-ST elevation acute coronary syndrome.
PG  - 188-194
LID - 10.1007/s00059-019-04859-1 [doi]
AB  - BACKGROUND: Early diagnosis of non-ST elevation acute coronary syndrome 
      (NSTE-ACS) and prediction of the severity of current coronary artery disease 
      (CAD) play a major role in patient prognosis. Electrocardiography has a unique 
      value in the diagnosis and provides prognostic information on patients with 
      NSTE-ACS. In the present study, we aimed to examine the relationship between 
      P wave peak time (PWPT) and the severity of CAD in patients with NSTE-ACS. 
      METHODS: A total of 132 consecutive patients (female: 35.6%; mean age: 
      60.1 +/- 11.6 years) who were diagnosed with NSTE-ACS were evaluated 
      retrospectively. Gensini scores (GSs) were used to define the angiographic 
      characteristics of the coronary atherosclerotic lesions. The patients were 
      divided into two groups according to the GS. The PWPT was defined as the duration 
      between the beginning and the peak of the P wave, and R wave peak time (RWPT) was 
      defined as the duration between the beginning of the QRS complex and the peak of 
      the R wave. RESULTS: There were 59 (44.6%) patients in the high-GS group (GS 
      >/=25 ) and 73 (55.3%) patients in the low-GS group (GS <25 ). Presence of diabetes 
      mellitus, low left ventricular ejection fraction, and high RWPT and PWPT were 
      identified as predictors of a high GS in the study population. There was no 
      significant difference between the area under the curves of PWPT and RWPT for 
      predicting the severity of CAD (0.663 vs. 0.623, respectively; p = 0.573). 
      CONCLUSION: The present study found that both PWPT and RWPT on admission 
      electrocardiography were associated with the severity and complexity of CAD in 
      patients with NSTE-ACS.
FAU - Bayam, Emrah
AU  - Bayam E
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
FAU - Yildirim, Ersin
AU  - Yildirim E
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
FAU - Kalcik, Macit
AU  - Kalcik M
AUID- ORCID: 0000-0002-8791-4475
AD  - Depertament of Cardiology, Faculty of Medicine, Hitit University, Buharaevler 
      Mah. Buhara 25. Sok. No. 1 /A Daire: 22, Corum, Turkey. macitkalcik@yahoo.com.
FAU - Karaduman, Ahmet
AU  - Karaduman A
AD  - Depertament of Cardiology, Kartal Kosuyolu High Specialty Training and Research 
      Hospital, University of Medical Sciences, Kartal, Turkey.
FAU - Kalkan, Semih
AU  - Kalkan S
AD  - Depertament of Cardiology, Kartal Kosuyolu High Specialty Training and Research 
      Hospital, University of Medical Sciences, Kartal, Turkey.
FAU - Guner, Ahmet
AU  - Guner A
AD  - Depertament of Cardiology, Kartal Kosuyolu High Specialty Training and Research 
      Hospital, University of Medical Sciences, Kartal, Turkey.
FAU - Kup, Ayhan
AU  - Kup A
AD  - Depertament of Cardiology, Kartal Kosuyolu High Specialty Training and Research 
      Hospital, University of Medical Sciences, Kartal, Turkey.
FAU - Kahyaoglu, Muzaffer
AU  - Kahyaoglu M
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
FAU - Yilmaz, Yusuf
AU  - Yilmaz Y
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
FAU - Selcuk, Murat
AU  - Selcuk M
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
FAU - Uyan, Cihangir
AU  - Uyan C
AD  - Depertament of Cardiology, Umraniye Training and Research Hospital, University of 
      Medical Sciences, Umraniye, Turkey.
LA  - eng
PT  - Journal Article
TT  - Beziehung zwischen der Zeit bis zum P-Wellen-Gipfel und dem Schweregrad der 
      koronaren Herzkrankheit beim akuten Koronarsyndrom ohne ST-Hebung.
DEP - 20191002
PL  - Germany
TA  - Herz
JT  - Herz
JID - 7801231
SB  - IM
MH  - *Acute Coronary Syndrome/diagnostic imaging
MH  - Aged
MH  - Coronary Angiography
MH  - *Coronary Artery Disease/diagnostic imaging
MH  - Electrocardiography
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Stroke Volume
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Conduction disturbances
OT  - Early diagnosis
OT  - Electrocardiography
OT  - Heart disease, ischemic
OT  - Prognosis
EDAT- 2019/10/04 06:00
MHDA- 2021/03/19 06:00
CRDT- 2019/10/04 06:00
PHST- 2019/05/30 00:00 [received]
PHST- 2019/08/20 00:00 [accepted]
PHST- 2019/08/01 00:00 [revised]
PHST- 2019/10/04 06:00 [pubmed]
PHST- 2021/03/19 06:00 [medline]
PHST- 2019/10/04 06:00 [entrez]
AID - 10.1007/s00059-019-04859-1 [pii]
AID - 10.1007/s00059-019-04859-1 [doi]
PST - ppublish
SO  - Herz. 2021 Mar;46(2):188-194. doi: 10.1007/s00059-019-04859-1. Epub 2019 Oct 2.