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- W2141658578 abstract "Orthogonal P-wave morphology has previously been described in different populations, but its relation to atrial size has not been studied in detail. In this study, we investigated whether atrial size affects P-wave morphology in athletes, who are known to have different degrees of atrial enlargement.A total of 504 healthy, male, professional soccer players were included (median age 25 years). All underwent echocardiographic and 12-lead electrocardiographic (ECG) recordings. The ECG was transformed into orthogonal leads, using the inverse Dower transform. The association between echocardiographic parameters and standard P-wave measures (i.e., orthogonal morphology, left atrial abnormality assessed as negative P-wave terminal force [PTF] in lead V1 > 0.04 mm × s, and duration) was analyzed.The vast majority had either type 1 P-wave morphology (75%) (positive leads X and Y and negative lead Z) or type 2 P-wave morphology (22%) (positive leads X and Y and biphasic lead Z [negative/positive]). Left atrial enlargement (≥29 mL/m(2) ) was found in 79% on echocardiography. There was no significant difference in left atrial end-systolic volume, left or right atrial diameters, or right atrial area between individuals with different P-wave morphologies. ECG signs of left atrial abnormality were found in eight subjects, who did not have significantly larger left atrial dimensions than the rest.We demonstrated that P-wave morphology does not depend on the size of the atria in young, healthy athletes, and that PTF is not a reliable marker of left atrial enlargement in the current population." @default.
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- W2141658578 date "2014-02-12" @default.
- W2141658578 modified "2023-10-16" @default.
- W2141658578 title "P-Wave Morphology Is Unaffected by Atrial Size: A Study in Healthy Athletes" @default.
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- W2141658578 doi "https://doi.org/10.1111/anec.12132" @default.
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