Clues on electrocardiography to predict the presence of paroxysmal atrial fibrillation in patients with acute ischemic stroke: A propensity score-matched study

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dc.contributor.authorYurdam, Ferhat Siyamend
dc.contributor.authorŞenöz, Oktay
dc.date.accessioned2023-03-22T19:48:18Z
dc.date.available2023-03-22T19:48:18Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractObjectives: In this study, we aimed to detect surface electrocardiography (ECG) markers that could be predictive of paroxysmal atrial fibrillation (PAF) attacks in patients with ischemic stroke. Patients and methods: Between November 2017 and April 2021, a total of 112 patients (65 males, 47 females; mean age: 70.5±6.8 years; range, 51 to 84 years) hospitalized for acute ischemic stroke with sinus rhythm on surface ECG who underwent Holter ECG monitoring for PAF were retrospectively analyzed. The patients were divided into two groups of 56 patients in each (Group 1: those with PAF on Holter ECG and Group 2: those without PAF). Both groups were matched according to demographic, clinical, and echocardiographic features using the propensity score matching method. Results: Demographic, clinical, and echocardiographic features were similar between groups (p>0.05). The mean maximum P-wave duration (PWD) and P-wave dispersion (PWDis) were longer in Group 1 than Group 2 (108.4±9.9 vs. 102.5±10.2 ms; p=0.002, 49.4±13.6 vs. 36.8±11.7 ms; p<0.001). Similarly, the mean P-wave terminal force in lead V1 (PTFV 1) was higher in Group 1 than Group 2 (4415±909 vs. 3826±568 ?V·ms; p<0.001). Logistic regression analysis revealed high PWDis (odds ratio [OR]: 1.164; 95% confidence interval [CI]: 1.069-1.268; p<0.001) and PTFV 1 (OR: 1.156; 95% CI: 1.065-1.254; p=0.001) as independent predictors of PAF. Conclusion: PWDis and PTFV1 are independent predictors of PAF in patients with acute ischemic stroke. These simple and easily accessible predictors that can be detected via surface ECG may be used as a guide to identify patients who require longer rhythm monitoring to better detect occult PAF, thereby preventing recurrent strokes.en_US
dc.identifier.doi10.5606/e-cvsi.2022.1231
dc.identifier.endpage42en_US
dc.identifier.issn2148-9211
dc.identifier.issue1en_US
dc.identifier.startpage36en_US
dc.identifier.trdizinid523782en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1050
dc.identifier.urihttps://doi.org/10.5606/e-cvsi.2022.1231
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/523782
dc.identifier.volume9en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.journalCardiovascular surgery and interventionsen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleClues on electrocardiography to predict the presence of paroxysmal atrial fibrillation in patients with acute ischemic stroke: A propensity score-matched studyen_US
dc.typeArticleen_US

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