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The usefulness of morphology-voltage-P wave duration ECG score for predicting early left atrial dysfunction in
Muzaffer Kahyaoglu1, Cetin Gecmen2, Ozkan Candan3
1Department of Cardiology , Gaziantep Abdulkadir Yuksel State Hospital, Gaziantep, Turkey.
Insights
The morphology-voltage-P wave duration electrocardiography (MVP ECG) score may help detect early left atrial (LA) dysfunction in hypertension patients. This novel approach aids in identifying cardiovascular risks associated with early LA dysfunction.
Area of Science:
- Cardiology
- Electrocardiography
- Echocardiography
Background:
- Left atrial (LA) function is a key predictor of cardiovascular events in hypertension (HT).
- Early detection of LA dysfunction in HT is crucial for managing modifiable risk factors.
- Existing electrocardiographic and echocardiographic methods aim to identify early LA dysfunction.
Purpose of the Study:
- To explore the association between the novel morphology-voltage-P wave duration electrocardiography (MVP ECG) score and early LA dysfunction in hypertensive patients.
- To evaluate the MVP ECG score as a potential tool for identifying subtle LA dysfunction.
Main Methods:
- Eighty-nine hypertensive patients were enrolled.
- Patients were categorized into two groups based on speckle tracking echocardiography: Group 1 (normal LA function, n=67) and Group 2 (abnormal LA function, n=22).
Main Results:
- Significant differences between groups were observed in age, history of diabetes mellitus, duration of HT, left ventricular mass index, E/Em, and MVP ECG score.
- Multivariate logistic regression identified duration of HT, E/Em, and MVP ECG score as independent predictors of early LA dysfunction.
Conclusions:
- The MVP ECG score presents a potential new method for detecting early LA dysfunction in individuals with hypertension.
- This score may facilitate earlier intervention and improved cardiovascular outcomes in hypertensive patients.
Objective:
Left atrial (LA) function is an important predictor of adverse cardiovascular outcomes in patients with hypertension (HT). Therefore, recognition of subtle LA dysfunction in the early stages of HT is essential for controlling modifiable variables. Several electrocardiographic and echocardiographic parameters have been studied to show early LA dysfunction. The goal of this study was to investigate the relationship between newly defined morphology-voltage-P wave duration electrocardiography (MVP ECG) score and early LA dysfunction in hypertensive patients.
Materials And Methods:
Eighty-nine hypertensive patients were included in this study. Based on speckle tracking echocardiography results, the patients were divided into two groups: 67 patients with normal LA function were included in Group 1, and 22 patients with abnormal LA function in Group 2.
Results:
Age, diabetes mellitus history, duration of HT history, left ventricular mass index, E/Em, and MVP ECG score values were statistically significant between the two groups. Based on the results of the multivariate logistic regression test, duration of HT history, E/Em, and MVP ECG score were determined as independent predictive parameters for early LA dysfunction in hypertensive patients.
Conclusion:
In conclusion, MVP ECG score assessment could be a novel approach to detect early LA dysfunction in hypertensive patients.
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