P-wave dispersion parameters predict paroxysmal atrial fibrillation in patients with embolic stroke of undetermined source
10.3760/cma.j.issn.1673-4165.2019.04.002
- VernacularTitle:P波离散参数预测栓子源不明的栓塞性卒中患者阵发性心房颤动
- Author:
Jingzhi TAO
1
;
Tieyu TANG
;
Zuowei DUAN
;
Xinjiang ZHANG
Author Information
1. 扬州大学附属医院神经内科 225000
- Keywords:
Stroke;
Brain ischemia;
Intracranial embolism;
Atrial fibrillation;
Electrocardiography;
Risk factors
- From:
International Journal of Cerebrovascular Diseases
2019;27(4):246-251
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the possibility of P-wave dispersion parameters of 12-lead ECG in predicting paroxysmal atrial fibrillation (PAF) in patients with embolic stroke of undetermined source (ESUS).Methods Patients with ESUS admitted to the Department of Neurology,the Affiliated Hospital of Yangzhou University from January 2017 to December 2018 were enrolled.According to the findings of 24 h dynamic ECG monitoring,they were divided into PAF group and non-PAF group.The maximum P-wave duration (Pmax),minimum P-wave duration (Pmm) and P-wave dispersion (Pd) in the conventional 12-1ead ECG were documented.Multivariate logistic regression analysis was used to determine the independent correlation between different P-wave dispersion parameters and PAF in patients with ESUS.Results A total of 87 patients with ESUS were enrolled,including 40 females and 47 males,with an average age of 68.53 ± 10.68 years.PAF was detected in 17 patients (19.54％).There were significant differences in age,baseline NIHSS score,Pmax,Pd,and left atrial diameter (LAD) between the PAF group and the non-PAF group (all P ＜0.05).Multivariate logistic regression analysis showed that Pd Was the only independent predictor of PAF in patients with ESUS (odds ratio,1.279,95％ confidence interval 1.048-1.561,P =0.015).Conclusion Pd is an independent predictor of PAF in patients with ESUS.
