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- W3097188643 abstract "Objective: Myocardial fibrosis may cause conduction delays in hypertensive patients. Interatrial block (IAB), defined as a conduction delay between the right and left atrium, has been associated with cardiovascular events. In this study, we aimed to investigate the echocardiographic determinants of IAB in patients suffering from essential hypertension. Materials and Methods: The population of this study included a total of 220 patients [male: 93 (42.3%), mean age: 61.8±7.8 years] with hypertension. IAB means a P wave duration of ≥120 ms on 12-lead electrocardiography recordings. Transthoracic echocardiography was used to evaluate all patients. Results: IAB was revealed in 70 patients using electrocardiography. Both groups had similar demographic characteristics of the patients with and without IAB. There was a significant increase in interventricular septal thickness, posterior wall thickness, left atrial diameter (LAD), left ventricular mass, left ventricular mass index and the prevalence of left ventricular hypertrophy (LVH) among hypertensive patients with IAB. Independent predictors of IAB included increased LAD (OR=1.082; 95%CI: 1.006-1.164; p=0.034) and the presence of LVH (OR=3.051; 95%CI: 1.164-7.994; p=0.023). LAD values above 38 mm predicted IAB with a specificity of 58% and a sensitivity of 68% in the analyses of receiver operating characteristic curve (area under curve= 0.678; 95% confidence interval: 0.601-0.754; p<0.001). Conclusion: There is a significant relationship between the presence of IAB and echocardiographic parameters related to LVH and left atrial dilatation among the patients suffering from essential hypertension. The IAB may be used as an electrocardiographic marker of myocardial fibrosis and cardiac remodeling among hypertensive patients." @default.
- W3097188643 created "2020-11-09" @default.
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- W3097188643 date "2019-10-29" @default.
- W3097188643 modified "2023-09-28" @default.
- W3097188643 title "Esansiyel hipertansiyonu olan hastalarda interatriyal blok ile ilişkili ekokardiyografik bulguların değerlendirilmesi" @default.
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