Relationship of P Terminal Force V1 on Electrocardiogram with Left Atrial Function in Chronic Kidney Failure Patients on Hemodialysis

ACI (Acta Cardiologia Indonesiana)

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Title Relationship of P Terminal Force V1 on Electrocardiogram with Left Atrial Function in Chronic Kidney Failure Patients on Hemodialysis
 
Creator Apshanti, Kartika
Gharini, Putrika Prastuti Ratna
Mumpuni, Hasanah
 
Subject P Terminal Force V1; left atrial function; chronic kidney failure; hemodialysis
 
Description Background: Chronic kidney failure is a worldwide public health problem.Cardiovascular disease is a common complication and the main cause of mortality in this population.Impaired left atrial function is an early marker of cardiovascular involvement and a prognostic factor that correlated with mortality in chronic kidney disease patients. We aimto investigate the relationship between P terminal force V1 (PTFV1), an ECG parameter, with left atrial function in chronic kidney failure patients on hemodialysis.Method: This cross sectional study was done in chronic kidney failure patients on hemodialysis in Dr. Sardjito General Hospital Jogjakarta. Electrocardiogram and echocardiography were done after hemodialysis procedure. P terminal force V1 was measured by multiplying amplitude and duration of negative deflection of terminal P wave in V1. Abnormal PTFV1 was defined as PTFV1 value ≥ 40 mm.msec. Left atrial function was measured using left atrial peak global longitudinal strain (LA PGLS).Results: This study was done in 71 patients with mean age 50 years old. Forty three subjects (61%) were men. Sixty four subjects (90%) had hypertension. Forty four subjects (62%) had abnormal PTFV1 on ECG. Mean LA PGLS was 24.89 ± 8.23%. No significant correlation was found between PTFV1 value with LA PGLS (r= -0.178; p=0.138). By multivariate analysis, left ventricular ejection fraction, left atrial diameter and hemodialysis duration (in months) were variables that independently correlated with LA PGLS. In subanalysis, amplitude of negative deflection of terminal P wave in V1 was significantly correlated with LA PGLS(r= -0.257, p= 0.031).Conclusions: This study reveals no correlation between P terminal force V1 and left atrial function in chronic kidney failure patients on routine hemodialysis. There is significant correlation between amplitude of negative deflection of terminal P wave in V1 with LA PGLS.
 
Publisher Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
 
Contributor
 
Date 2019-10-08
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier https://jurnal.ugm.ac.id/jaci/article/view/50216
10.22146/aci.50216
 
Source ACI (Acta Cardiologia Indonesiana); Vol 5, No 2 (2019); 90-100
2579-4345
2460-5700
 
Language eng
 
Relation https://jurnal.ugm.ac.id/jaci/article/view/50216/25708
 
Rights Copyright (c) 2019 Kartika Apshanti, Putrika Prastuti Ratna Gharini, Hasanah Mumpuni
http://creativecommons.org/licenses/by-sa/4.0
 

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