Abstract
Abstract
Aim
To investigate the relationship between p wave terminal force (Ptfv1) and pericardial thickness in patients with tuberculous constrictive pericarditis.
Methods
From January 2018 to October 2022, 95 patients with tuberculous constrictive pericarditis who needed pericarditis dissection in a hospital were collected, and 3 patients who did not meet the criteria were excluded, a total of 92 cases. The absolute value of Ptfv1 in conventional electrocardiogram was tested before surgery, and pericardial thickness was measured by echocardiography and chest CT. Pericardial thickness was measured after pericardial dissection. Pearson correlation analysis was used, R software was used to make scatter plot, and non-parametric square test was used. The correlation of postoperative measurements with echocardiography, chest CT and absolute value of Ptfv1 was analyzed.
Results
Pearson correlation analysis was conducted with postoperative measurements and echocardiography measurements, postoperative measurements and chest CT measurements, and postoperative measurements and absolute value of Ptfv1. Pearson correlation analysis showed that the correlation coefficients between postoperative measurements and echocardiography, chest CT and Ptfv1 values were statistically significant. Scatter plot and nonparametric Chi-square test showed that postoperative measurements were consistent with absolute values of echocardiography, chest CT and Ptfv1 (p < 0.05). And this study found that the distribution of the value of Ptfv1 ≥ 5 was higher than the value of Ptfv1 < 5 after pericardiectomy (0.95:0.05) in the absolute value of Ptfv1 ≥ 0.04 which measured before pericardiectomy. The hypothesis was statistically significant (p < 0.05).
Conclusion
The absolute value of Ptfv1 in electrocardiogram can be used as an auxiliary diagnostic index to evaluate pericardial thickness in tuberculous constrictive pericarditis.
Funder
Hangzhou Bio-medicine and Health Industry Development Support Science and Technology Project
Publisher
Springer Science and Business Media LLC
Reference25 articles.
1. Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Task force for the diagnosis and management of pericardial diseases of the European society of cardiology (ESC). Eur Heart J. 2015;68:1068.
2. Abhayaratna WP, Seward JB, Appleton CP, et al. Left atrial size: physiologic determinants and clinical applications. J Am Coll Cardiol. 2006;47:2357–63.
3. Amir K, Jonathan M, Desser KB, Nathan L, Froelicher VF. The prognostic importance of isolated P-wave abnormalities. Am J Cardiol. 2005;95:300–4.
4. Ardahanli I, Yilmaz AH, Akgün O, Gurbanov R. Evaluation of ventricular repolarization parameters in erectile dysfunction: a predictor of cardiac diseases. J Mens Health. 2022;18(3):78.
5. Ardahanli I, Celik M. Comparison of tp-e interval, qtc interval and tp-e/qtc ratios between non-diabetic and prediabetic population. Ann Med Res. 2020;27(12):3117–39.