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Wyświetlanie 1-2 z 2
Tytuł:
ST segment depression in atrioventricular reentrant tachycardia
Autorzy:
Mercik, Jakub Szymon
Kuniewicz, Marcin
Radziejewska, Jadwiga
Pach, Katarzyna
Zyśko, Dorota
Gajek, Jacek
Powiązania:
https://bibliotekanauki.pl/articles/24202845.pdf
Data publikacji:
2023-09-22
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
ST-segment depression
tachycardia with narrow QRS complex
AVRT
Opis:
Background: ST segment deviation is common in patients with narrow QRS complex tachycardia. It mainly concerns young people in whom ischemic background is unlikely. In our work we would also like to propose another potential mechanism - the overlapping of individual components of the QRS complex. Material and methods: The study included 11 patients (7 women and 4 men) with paroxysmal narrow QRS complex tachycardia. In all patients EPS was performed and the diagnosis of atrioventricular reentrant tachycardia was established and finally successful RF ablation was done We measured the individual components of QRS QR, RS and RJ during sinus rhythm and during tachycardia. Results: The difference RJ-QR during tachycardia correlated negatively with tachycardia cycle length T(r = -0.85, p = 0.000831). We also showed a significant difference between the amplitude of the RJ segment in tachycardia and during sinus rhythm (p = 0.005), at the same time we showed no differences between the amplitude of QR and RS. Conclusions: We showed a statistically significant difference in ST segment depression in correlation with the rate of tachycardia in patients with AVRT resulting mainly from the overlapping of individual components of the QRS complex.
Źródło:
European Journal of Translational and Clinical Medicine; 2023, 6, 2; 66-70
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
P wave duration and morphology in patients with atrial fibrillation
Autorzy:
Mercik, Jakub Szymon
Unkell, Malte
Marinov, Maxim
Wolff, Peter Stephan
Radziejewska, Jadwiga
Gajek, Jacek
Powiązania:
https://bibliotekanauki.pl/articles/1196135.pdf
Data publikacji:
2020-11-12
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
atrial fibrillation
P wave duration
P wave morphology
Bachmann's bundle
Opis:
Background: Functional and structural atrial changes contribute to AF. It decreases conduction velocity and forms intra atrial blocks. In the ECG those changes are manifested by the duration and morphology of the P wave. Material and method: The study group consisted of 50 patients with atrial fibrillation. There were 27 women and 23 men, aged 65.3 +/- 9.8 years. 22 patients had paroxysmal AF and 28 had persistent AF, in the latter direct current cardio version was performed. Results: In patients with a prolonged episodes of atrial fi- brillation the P wave duration was longer in comparison to patients with sinus rhythm (187.1 +/- 31.5 vs 161.1 +/- 18.8 ms; p = 0.006). There were significant differences in P wave duration among the patients with normal and abnormal interatrial conduction, with the longest duration in complete Bachmann's bundle block group (152.7 +/- 17.5 vs 165.3 +/- 15.3 vs 207.9 +/- 27.5 ms; p < 0.001). Conclusions: In patients with persistent atrial fibrillation the duration of the P wave is prolonged in comparison to paroxysmal. In the majority of patients prolongation of the P wave duration is dependent on different forms of conduction block. The morphological changes of P waves are caused by the arrhythmia rather than left atrial hypertrophy.
Źródło:
European Journal of Translational and Clinical Medicine; 2020, 3, 2; 22-28
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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