Publication:
Effects of balloon pulmonary angioplasty procedure on electrocardiographic parameters in patients with chronic thromboembolic pulmonary hypertension

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dc.contributor.authorKOL, AYHAN
dc.contributor.authorKEPEZ, ALPER
dc.contributor.authorATAŞ, HALİL
dc.contributor.authorMUTLU, BÜLENT
dc.contributor.authorsKOL A., KEPEZ A., Akaslan D., Kanar B., ATAŞ H., MUTLU B.
dc.date.accessioned2023-03-13T06:29:24Z
dc.date.available2023-03-13T06:29:24Z
dc.date.issued2023-03-01
dc.description.abstractAim: The aim of the present study was to evaluate the value of electrocardiography (ECG) in predicting post-operative hemodynamic improvement in patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing balloon pulmonary angioplasty (BPA).Material and methods: A total of 32 patients were included in the study. During ECG analysis, parameters that have been suggested to be related to right ventricular hypertrophy and/or dilatation were evaluated. The sig-nificance of the change in each parameter obtained at the pre-BPA visit and at the scheduled control visit 6 months after BPA was tested. In addition to ECG analysis, data related to right heart catheterization (RHC) and echocardiography, B-type natriuretic peptide (BNP) levels and World Health Organization (WHO) functional classifications of all patients were also recorded. The relationship between the amount of possible change in ECG parameters and the amount of possible change in hemodynamic parameters was investigated.Results: The Daniel score, which has been suggested to have prognostic value in acute pulmonary embolism, decreased from 8.22 +/- 5.68 to 6.56 +/- 5.55 after the BPA procedure (p: 0.035). Among all parameters studied, only T wave height (V2 t) in V2 derivation changed significantly from-0.77 +/- 2.39 to 1.27 +/- 2.58 mm (p: 0.036). The amount of change in V2 T was found to significantly correlate with the amount of change in systolic right ventricular pressure, mean pulmonary artery pressure, pulmonary vascular resistance, and systemic vascular resistance.Conclusion: Postprocedural T wave changes in lead V2 might serve as a marker of hemodynamic improvement in patients with CTEPH who undergo BPA.
dc.identifier.citationKOL A., KEPEZ A., Akaslan D., Kanar B., ATAŞ H., MUTLU B., "Effects of balloon pulmonary angioplasty procedure on electrocardiographic parameters in patients with chronic thromboembolic pulmonary hypertension", JOURNAL OF ELECTROCARDIOLOGY, cilt.77, ss.72-77, 2023
dc.identifier.doi10.1016/j.jelectrocard.2023.01.013
dc.identifier.endpage77
dc.identifier.issn0022-0736
dc.identifier.startpage72
dc.identifier.urihttps://hdl.handle.net/11424/287365
dc.identifier.volume77
dc.language.isoeng
dc.relation.ispartofJOURNAL OF ELECTROCARDIOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectKardiyoloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectCardiovascular
dc.subjectHealth Sciences
dc.subjectKALP VE KALP DAMAR SİSTEMLERİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectCARDIAC & CARDIOVASCULAR SYSTEMS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectKardiyoloji ve Kardiyovasküler Tıp
dc.subjectCardiology and Cardiovascular Medicine
dc.subjectChronic thromboembolic pulmonary
dc.subjecthypertension
dc.subjectPulmonary balloon angioplasty
dc.subjectECG
dc.subjectRight heart failure
dc.subjectHYPERTROPHY
dc.subjectASSOCIATION
dc.subjectChronic thromboembolic pulmonary
dc.subjecthypertension
dc.subjectPulmonary balloon angioplasty
dc.subjectRight heart failure
dc.subjectEGG
dc.titleEffects of balloon pulmonary angioplasty procedure on electrocardiographic parameters in patients with chronic thromboembolic pulmonary hypertension
dc.typearticle
dspace.entity.typePublication
local.avesis.ida09f2222-277d-4285-a54b-b6ff624f6c0d
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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relation.isAuthorOfPublication.latestForDiscoverya57ded28-2ec1-41cb-b3f3-32619e23f3f7

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