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Title: Analysis of P wave duration, dispersion and quality of life in patients after percutaneous persistent foramen ovale and atrial septal defect closure

Author:

Lelakowska-Pieła, Maria

Date:

2019

Type:

Praca doktorska

Abstract:

The electrophysiological mechanisms of atrial arrhythmias in patients with atrial septal communication (ASD or PFO) may involve increased P-wave dispersion (Pdysp). With the advancement of medicine, therapeutic goals are to improve a patient's functioning in society, fulfillment of social roles, and the restoration of well-being. The aim of the study was to: assess P-wave dispersion (Pdysp), the prevalence of arrhythmia and assess QoL in patients before and after ASD or PFO closure. The study group included 129 patients (70 female), with a mean age of 44.5±13.4 years, scheduled for percutaneous closure of ASD (n= 56) or PFO (n=73). We performed 12-lead electrocardiograms, echocardiograms, and 24-h Holter electrocardiograms and a clinical assessment, conducted an SF-36 questionnaire. Pdysp was predicted by right ventricular outflow tract (RVOT) proximal diameter, left atrial area, ASD, smoking, and paroxysmal dyspnea. In patients with ASD QoL improvement was predicted by higher baseline tricuspid annular plane systolic excursion (TAPSE) and right ventricular longitudinal dimension. In patients with PFO QoL improvement was predicted by higher TAPSE, lack of arterial hypertension, and usage of ACEI. Percutaneous closure of (ASD or PFO) was associated with a reduction of Pdysp. Improvement of QoL was predicted by echocardiographic and clinical parameters.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu krążenia

Degree grantor:

Wydział Lekarski

Promoter:

Olszowska, Maria

Date issued:

2019

Identifier:

oai:dl.cm-uj.krakow.pl:4323

Call number:

ZB-130605

Language:

pol; eng

Access rights:

tylko w bibliotece

Subject and keywords:

quality of life ASD PFO P dispersion

Object collections:

Last modified:

Jun 26, 2023

In our library since:

Jun 16, 2020

Number of object content hits:

20

Number of object content views in PDF format

0

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4324

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Edition name Date
ZB-130605 Jun 26, 2023

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