Title |
P-wave indices in patients with pulmonary emphysema: do P-terminal force and interatrial block have confounding effects?
|
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Published in |
International Journal of Chronic Obstructive Pulmonary Disease, May 2013
|
DOI | 10.2147/copd.s45127 |
Pubmed ID | |
Authors |
Lovely Chhabra, Vinod K Chaubey, Chandrasekhar Kothagundla, Rishi Bajaj, Sudesh Kaul, David H Spodick |
Abstract |
Pulmonary emphysema causes several electrocardiogram changes, and one of the most common and well known is on the frontal P-wave axis. P-axis verticalization (P-axis > 60°) serves as a quasidiagnostic indicator of emphysema. The correlation of P-axis verticalization with the radiological severity of emphysema and severity of chronic obstructive lung function have been previously investigated and well described in the literature. However, the correlation of P-axis verticalization in emphysema with other P-indices like P-terminal force in V1 (Ptf), amplitude of initial positive component of P-waves in V1 (i-PV1), and interatrial block (IAB) have not been well studied. Our current study was undertaken to investigate the effects of emphysema on these P-wave indices in correlation with the verticalization of the P-vector. |
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