Usefulness of P‐wave peak time as an electrocardiographic parameter in predicting left ventricular diastolic dysfunction in patients with mitral regurgitation

Purpose: This study aimed to investigate the relationship between left ventricular hypertrophy (LVH), assessed by echocardiographic left ventricular mass index (LVMI), and electrocardiographically evaluated R wave peak time (RWPT) and P wave peak time (PWPT) in hypertensive patients. Materials and Methods: A cross-sectional study was conducted involving 100 hypertensive patients, excluding those with specific medical conditions. Clinical and demographic data were collected, and electrocardiographic and echocardiographic examinations were performed. RWPT and PWPT were assessed along with other parameters. Results: LVH was present in 33 out of 100 patients. Patients with LVH exhibited significantly higher RWPT (45.6 ± 4.9 vs. 35.0 ± 5.5) and PWPT (55.5 ± 15.8 vs. 49.1 ± 12.5) compared to those without LVH. Additionally, LVH patients showed increased left atrium anteroposterior diameter, and prolonged deceleration time. QRS fragmentation was more common in the LVH group. Conclusion: The study highlights the association between electrocardiographic parameters (RWPT and PWPT) and LVH in hypertensive patients. These findings underscore the potential utility of electrocardiogram as a non-invasive tool for LVH assessment in clinical practice in hypertensive patients, aiding in risk stratification and therapeutic decision-making.

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Usefulness of P‐wave peak time as an electrocardiographic parameter in predicting left ventricular diastolic dysfunction in patients with mitral regurgitation

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

Cited by 2 publications

References 40 publications