Atrial electromechanical delay is impaired in patients with COVID-19

Authors : Yücel YILMAZ, Şaban KELEŞOĞLU, Joma SULAİMAN, Deniz ELCİK

Pages : 1036-1043

Doi:10.32322/jhsm.1093776

View : 29 | Download : 12

Publication Date : 2022-07-20

Article Type : Research Paper

Abstract :Background: COVID-19 infection has the potential to affect the cardiovascular system. Intra/ interatrial electromechanical delay insert ignore into journalissuearticles values(EMD); demonstrated by P wave dispersion insert ignore into journalissuearticles values(PD); and tissue doppler echocardiography insert ignore into journalissuearticles values(TDE); is related to the development of atrial fibrillation. This study aimed to investigate atrial conduction time by PD and TDE in patients with COVID-19. Material and Method: A total of 143 participants were selected in the current study. The COVID-19 group included 90 subjects and the control group included 53 individuals. Two groups were compared with each other, in terms of electrocardiographic P wave measurements, and atrial electromechanical coupling insert ignore into journalissuearticles values(AEC); parameters by TDE. Results: Maximum P-wave duration insert ignore into journalissuearticles values(Pmax); and PD were significantly higher in COVID-19 patients compared to the control group insert ignore into journalissuearticles values(p<0.001, for both);. Interatrial and intraatrial EMD were also longer in the COVID-19 patients compared to control group insert ignore into journalissuearticles values(p<0.001, for both);. Correlation analysis revealed a significant and positive correlation between CRP with Pmax, PD, interatrial and intraatrial EMD insert ignore into journalissuearticles values(r=0.608, p <0.001; r=0.708, p<0.001; r=0.692, p<0.001; r=0.697, p<0.001, respectively);. Besides, a positive and significant relationship was also found between the interatrial and intraatrial EMD with PD and Pmax insert ignore into journalissuearticles values(p<0.001, for all);. Conclusion: Atrial EMD parameters were prolonged in patients with COVID-19. The measurement of atrial EMD parameters might be used to determine the risk of AF development in patients with COVID-19.
Keywords : Atrial fibrillation, COVID 19, Atrial electromechanical delay