Serhat ÇALIŞKAN, Mehmet ATAY, Şenel ALTUN

Maskeli Hipertansiyon ve P Dalga Dispersiyonu Arasındaki İlişkinin Değerlendirilmesi

Amaç: Atriyal fibrilasyon günlük pratikte en sık karşılaştığımız aritmidir. Hipertansiyon atriyal fibrilasyon için bağımsız risk faktörüdür. P dalga dispersiyonu atriyal fibrilasyon öngörmede kabul görmüş non-invaziv parametrelerden biridir. Çalışmamızda maskeli hipertansiyon tanısı ile takip edilen hastalarda P dalga sürelerinin kontrol grubuna göre farklılık gösterip göstermediği incelemeyi amaçladık. Materyal Metod: Çalışmaya yaş ve cinsiyet açısından benzer 40 maskeli hipertansiyonu olan hasta ile 42 kontrol grubu olarak toplam 82 kişi alındı. Çalışmaya katılan bireylerin laboratuvar verileri ve elektrokardiyografi (EKG) parametreleri retrospektif olarak incelendi. Tüm katılımcıların EKG kayıtlarından P dalga süreleri hesaplandı. Bulgular: P dalga dispersiyon süresi (44,88±5,63 ms ve 38,38±6,21 ms) ve P maksimum süresi (127,28±4,19 ms ve 121,38±6,05 ms) maskeli hipertansiyon grubunda kontrol grubuna göre anlamlı düzeyde yüksek saptandı (p<0,001). Maskeli hipertansiyon tanılı bireylerin vücut kitle indeksi değerleri (26,28±2,23 ve 24,9±2,89 p<0,05) kontrol grubuna göre istatistiksel olarak yüksek saptandı. Hastaların laboratuvar verileri arasında anlamlı fark saptanmamıştır. Sonuç: P dalga dispersiyonu ve P maksimum süresi maskeli hipertansiyonu bulunan hastalarda uzamıştır ve bu parametreler aritmi tahmini için kullanılabilir.

Anahtar Kelimeler:

Maskeli Hipertansiyon, Aritmi, P dalga dispersiyonu

Evaluation of the Relationship Between Masked Hypertension and P Wave Dispersion

Background: Atrial fibrillation is the most common arrhythmia in daily practice. Hypertension is an independent risk factor for atrial fibrillation. P wave dispersion is one of the accepted non-invasive parameters to predict atrial fibrillation. In our study, we aimed to examine whether the P wave durations of the patients followed up with the diagnosis of masked hypertension differed compared to the control group. Materials and Methods: A total of 82 people were included in the study as 40 patients with masked hypertension who were similar in terms of age and gender, and 42 as the control group. The laboratory data and electrocardiography (ECG) parameters of the individuals participating in the study were analyzed retrospectively. P wave durations were calculated from the ECG recordings of all participants. Results: P wave dispersion time (44.88±5.63 ms and 38.38±6.21 ms) and P maximum duration (127.28±4.19 ms and 121.38±6.05 ms) in the masked hypertension group significantly higher than the group (p<0.001). Body mass index values of individuals diagnosed with masked hypertension (26.28±2.23 and 24.9±2.89 p<0.05) were found to be statistically higher than the control group. No significant difference was found between the laboratory data of the patients. Conclusion: P wave dispersion and P max duration are prolonged in patients with masked hypertension and these parameters can be used to predict arrhythmia.

Keywords:

Masked Hypertension, Arrhythmia, P wave dispersion,

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