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Evolution of P-wave...
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Baturova, Maria A.Lund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Department of Cardiology, Clinical Sciences, Lund University, Sweden; Research Park, Saint Petersburg State University, Russia
(author)
Evolution of P-wave indices during long-term follow-up as markers of atrial substrate progression in arrhythmogenic right ventricular cardiomyopathy
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-03-04
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Oxford University Press,2021
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-175169
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-175169URI
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https://doi.org/10.1093/europace/euaa388DOI
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https://lup.lub.lu.se/record/328019bf-18a7-4533-a769-26b82f7ee53dURI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding: Swedish Heart-Lung FoundationSwedish Heart-Lung Foundation; Skane University Hospital (Lund, Sweden); Swedish healthcare system (ALF); The Swedish Institute; Theo-Rossi di Montelera (TRM) foundation
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AIMS: Patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) have increased prevalence of atrial arrhythmias indicating atrial involvement in the disease. We aimed to assess the long-term evolution of P-wave indices as electrocardiographic (ECG) markers of atrial substrate during ARVC progression.METHODS AND RESULTS: We included 100 patients with a definite ARVC diagnosis according to 2010 Task Force criteria [34% females, median age 41 (inter-quartile range 30-55) years]. All available sinus rhythm ECGs (n = 1504) were extracted from the regional electronic ECG databases and automatically processed using Glasgow algorithm. P-wave duration, P-wave area, P-wave frontal axis, and prevalence of abnormal P terminal force in lead V1 (aPTF-V1) were assessed and compared at ARVC diagnosis, 10 years before and up to 15 years after diagnosis.Prior to ARVC diagnosis, none of the P-wave indices differed significantly from the data at ARVC diagnosis. After ascertainment of ARVC diagnosis, P-wave area in lead V1 decreased from -1 to -30 µV ms at 5 years (P = 0.002). P-wave area in lead V2 decreased from 82 µV ms at ARVC diagnosis to 42 µV ms 10 years after ARVC diagnosis (P = 0.006). The prevalence of aPTF-V1 increased from 5% at ARVC diagnosis to 18% by the 15th year of follow-up (P = 0.004). P-wave duration and frontal axis did not change during disease progression.CONCLUSION: Initial ARVC progression was associated with P-wave flattening in right precordial leads and in later disease stages an increased prevalence of aPTF-V1 was seen.
Subject headings and genre
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Svensson, Anneli,1972-Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annsv58
(author)
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Åström Aneq, Meriam,1964-Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US(Swepub:liu)meras88
(author)
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Svendsen, Jesper H.Department of Cardiology, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark,Copenhagen University Hospital
(author)
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Risum, NielsDepartment of Cardiology, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark,Copenhagen University Hospital
(author)
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Sherina, ValeriiaDepartment of Biostatistics and Computational Biology, School of Medicine and Dentistry, University of Rochester Medical Center, USA
(author)
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Bundgaard, HenningDepartment of Cardiology, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark,Copenhagen University Hospital
(author)
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Meurling, CarlLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Cardiology, Clinical Sciences, Lund University, Sweden(Swepub:lu)kard-cme
(author)
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Lundin, CatarinaLund University,Lunds universitet,Genetiska och epigenetiska studier av barnleukemi,Forskargrupper vid Lunds universitet,Genetic and epigenetic studies of pediatric leukemia,Lund University Research Groups,Department of Clinical Genetics and Pathology, Division of Laboratory Medicine, Sweden(Swepub:lu)klin-clu
(author)
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Carlson, JonasLund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Department of Cardiology, Clinical Sciences, Lund University, Sweden(Swepub:lu)kard-jca
(author)
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Platonov, Pyotr G.Lund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Department of Cardiology, Clinical Sciences, Lund University, Sweden(Swepub:lu)kard-ppl
(author)
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Electrocardiology Research Group - CIELForskargrupper vid Lunds universitet
(creator_code:org_t)
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In:Europace: Oxford University Press23:Supplement_1, s. i29-i371099-51291532-2092
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