Combined Algorithm Using a Poor Increase in Inferior P-Wave Amplitude During Sympathetic Stimulation and Sinus Node Recovery Time for the Diagnosis of Sick Sinus Syndrome
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Park, Jin-Kyu | - |
dc.contributor.author | Park, Junbeom | - |
dc.contributor.author | Uhm, Jae-Sun | - |
dc.contributor.author | Pak, Hui-Nam | - |
dc.contributor.author | Lee, Moon-Hyoung | - |
dc.contributor.author | Joung, Boyoung | - |
dc.date.accessioned | 2022-07-15T20:50:12Z | - |
dc.date.available | 2022-07-15T20:50:12Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2015-10 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/156235 | - |
dc.description.abstract | Background: This study sought to evaluate whether a poor increase in inferior P-wave amplitude during sympathetic stimulation might be a helpful diagnostic tool for sick sinus syndrome (SSS). Methods and Results: Three-dimensional electroanatomic mapping of the right atrium, inferior P-wave amplitude and conventional corrected sinus node recovery time (CSNRT) were compared in 112 consecutive atrial fibrillation (AF) patients with (n=21) and without SSS (n=91). The significant cranial shift of earliest activation site (EAS) (the distance from the superior vena cava to the EAS: 11.1 vs. 5.9 mm, P<0.001) and the increases of inferior P-wave amplitudes during isoproterenol infusion (all P<0.001) were observed in patients without SSS. However, cranial shift of EAS (16.5 vs. 14.2 mm, P=0.375) and P-wave amplitude increases were not observed in those with SSS. Although CSNRT >550 ms showed a sensitivity of 50% and specificity of 84% for diagnosing SSS, poor increases of P-waves amplitude in lead aVF (<0.1 mV) during isoproterenol infusion showed an improved sensitivity of 71% and specificity of 89%. Finally, the combined algorithm using CSNRT >550 ms and poor increase of P-waves amplitude in lead aVF showed more improved diagnostic accuracy (sensitivity 89%, specificity 75%). Conclusions: A combined algorithm using inferior P-wave amplitude showed improved performance for the diagnosis of SSS compared with CSNRT >550 ms alone. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | JAPANESE CIRCULATION SOC | - |
dc.title | Combined Algorithm Using a Poor Increase in Inferior P-Wave Amplitude During Sympathetic Stimulation and Sinus Node Recovery Time for the Diagnosis of Sick Sinus Syndrome | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Jin-Kyu | - |
dc.identifier.doi | 10.1253/circj.CJ-15-0561 | - |
dc.identifier.scopusid | 2-s2.0-84942549044 | - |
dc.identifier.wosid | 000361814900015 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, v.79, no.10, pp.2148 - 2156 | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.citation.title | CIRCULATION JOURNAL | - |
dc.citation.volume | 79 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2148 | - |
dc.citation.endPage | 2156 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | SUPERIOR SINOATRIAL NODE | - |
dc.subject.keywordPlus | ATRIAL-FIBRILLATION | - |
dc.subject.keywordPlus | IMPAIRS | - |
dc.subject.keywordAuthor | Corrected sinus node recovery time | - |
dc.subject.keywordAuthor | P-wave amplitude | - |
dc.subject.keywordAuthor | Sick sinus syndrome | - |
dc.subject.keywordAuthor | Sinus node dysfunction | - |
dc.subject.keywordAuthor | Sympathetic stimuli | - |
dc.identifier.url | https://www.jstage.jst.go.jp/article/circj/79/10/79_CJ-15-0561/_article | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.