Value of P wave dispersion in pediatric patients with secundum atrial septal defect
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Aso Faeq Salih 1 * , Aras Fathi Abdulaziz Brazinji 2
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1 Pediatric Department, School of Medicine, Faculty of Medical Science, Sulaimani University, Sulaimanyah , Kurdistan Region, Iraq2 Sulaimani Pediatric Teaching hospital, Sulaimanyah, Kurdistan Region, Iraq* Corresponding Author

Abstract

Objective:
Ostium secundum defect is the common cause of RA enlargement. The aim in this study is to evaluate P wave dispersion in children to the size of atrial septal defect.

Method:
Forty–one children with isolated secundum atrial septal defect (and 41 age-matched controls evaluated. Using the same 12 lead ECG device in resting position, P maximum and P dispersion measured.

Results:
Mean P dispersion in atrial septal defect children is prolonged compare to the controls (P dispersion: 29.1±10.1 vs. 25.3±5.5 ms, P=0.009). And children with right atrial dilation had significantly longer P maximum (101.2±14.1 vs. 81.7±12.3 ms, P<0.001) and larger P dispersion (35.0±11.4 vs. 26.5±8.3 ms, P=0.003) compared to those without right atrial dilation.

Conclusion:
Children with moderate to large sized ASD are valuable to have prolonged. Atrial conduction time in the form of P duration and P dispersion. Also, it’s a good tool for diagnosing ASD in places where echocardiography imaging is not available. We can also differentiate between small ASD and large one based on P dispersion.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 16, Issue 6, December 2019, Article No: em173

https://doi.org/10.29333/ejgm/115849

Publication date: 25 Dec 2019

Article Views: 1862

Article Downloads: 1583

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