[1]郭叶丹 刘璐 张树龙.P波参数与形态对心房颤动及其他心血管疾病的预测作用[J].心血管病学进展,2023,(10):921.[doi:10.16806/j.cnki.issn.1004-3934.2023.10.013]
　GUO Yedan,LIU Lu,ZHANG Shulong?/html>.Predictive Role of P-Wave Parameters and Morphology for?trial Fibrillation and Other Cardiovascular Diseases[J].Advances in Cardiovascular Diseases,2023,(10):921.[doi:10.16806/j.cnki.issn.1004-3934.2023.10.013]
点击复制

P波参数与形态对心房颤动及其他心血管疾病的预测作用()
分享到：

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年10期
页码:
921
栏目:
综述
出版日期:
2023-10-25

文章信息/Info

Title:
Predictive Role of P-Wave Parameters and Morphology for?trial Fibrillation and Other Cardiovascular Diseases
作者:
郭叶丹 刘璐 张树龙
(大连大学附属中山医院心脏中心,辽宁 大连 116001)
Author(s):
GUO Yedan; LIU Lu; ZHANG Shulong?/html>
?Heart Center,Zhongshan Hospital Affiliated to Dalian University,Dalian 116001,Liaoning,China)
关键词:
P波参数; P波形态; 心房颤动; 心血管疾病
Keywords:
P-wave parameters; P-wave morphology; Atrial fibrillation; Cardiovascular disease
DOI:
10.16806/j.cnki.issn.1004-3934.2023.10.013
摘要:
心房颤动是最普遍的心律失常，其特点是快速和异常的心房激活导致心房功能受损。因P波特征的任何偏转都意味着心房激活时间和传导途径的变化，因此，了解P波典型形态学改变以及异常P波参数与心房颤动间的联系可做到早期心房颤动的精准预测。现重点介绍P波形态、P波参数与心房颤动的联系，探索基于人工智能技术下P波对心房颤动的预测价值，以及P波参数对其他心血管疾病的预测作用，为将来P波对心房颤动和其他心血管疾病发生的早期识别提供一种新的手段。
Abstract:
Atrial fibrillation is the most common arrhythmia,characterized by rapid and abnormal atrial activation leading to impaired atrial function. Any deflection of P-wave characteristics implies changes in atrial activation time and conduction pathway,so understanding the typical morphological changes of P-wave and the relationship between abnormal P-wave parameters and atrial fibrillation can lead to accurate prediction of early atrial fibrillation. This review described the p-wave morphology,the mechanism of association between p-wave parameters and atrial fibrillation,and explore the predictive value of p-wave for atrial fibrillation based on artificial intelligence technology,as well as the predictive effects of p-wave parameters on other cardiovascular disease. It provides a new method for early recognition of P wave as Atrial fibrillation and other cardiovascular diseases in the future

参考文献/References:

[1]Gajendragadkar PR,von Ende A,Ibrahim M,et al. Assessment of the causal relevance of ECG parameters for risk of atrial fibrillation:a mendelian randomisation study[J]. PLoS Med,2021,18(5):e1003572.

[2]Reese-Petersen AL,Olesen MS,Karsdal MA,et al. Atrial fibrillation and cardiac fibrosis:a review on the potential of extracellular matrix proteins as biomarkers[J]. Matrix Biol,2020,91-92:188-203.

[3]Filos D,Chouvarda I,Tachmatzidis D,et al. Beat-to-beat P-wave morphology as a predictor of paroxysmal atrial fibrillation[J]. Comput Methods Programs Biomed,2017,151:111-121.

[4]Chen LY,Ribeiro ALP,Platonov PG,et al. P wave parameters and indices:a critical appraisal of clinical utility,challenges,and future research—A consensus document endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology[J]. Circ Arrhythm Electrophysiol,2022,15(4):e010435.

[5]Gao Y,Gong YL,Xia L,et al. Simulation of inter atrial block based on a human atrial model[J]. J Zhejiang Univ Sci B,2019,20(4):300-309.

[6]Loewe A,Krueger MW,Holmqvist F,et al. Influence of the earliest right atrial activation site and its proximity to interatrial connections on P-wave morphology[J]. Europace,2016,18(suppl 4):iv35-iv43.

[7]Pezzuto S,Gharaviri A,Schotten U,et al. Beat-to-beat P-wave morphological variability in patients with paroxysmal atrial fibrillation:an in silico study[J]. Europace,2018,20(suppl_3):iii26-iii35.

[8]Martinez-Mateu L,Melgarejo-Meseguer FM,Mu?oz-Romero S,et al. Manifold analysis of the P-wave changes induced by pulmonary vein isolation during cryoballoon procedure[J]. Comput Biol Med,2023,155:106655.

[9]Yanagisawa S,Inden Y,Okamoto H,et al. Electrocardiogram characteristics of P wave associated with successful pulmonary vein isolation in patients with paroxysmal atrial fibrillation:significance of changes in P-wave duration and notched P wave[J]. Ann Noninvasive Electrocardiol,2020,25(2):e12712.

[10]Rasmussen MU,Kumarathurai P,Fabricius-Bjerre A,et al. P-wave indices as predictors of atrial fibrillation[J]. Ann Noninvasive Electrocardiol ,2020,25(5):e12751.

[11]Skov MW,Ghouse J,Kühl JT,et al. Risk prediction of atrial fibrillation based on electrocardiographic interatrial block[J]. J Am Heart Assoc,2018,7(11):e008247.

[12]Eranti A,Carlson J,Kentt? T,et al. Orthogonal P-wave morphology,conventional P-wave indices,and the risk of atrial fibrillation in the general population using data from the Finnish Hospital Discharge Register[J]. Europace,2020,22(8):1173-1181.

[13]Andlauer R,Seemann G,Baron L,et al. Influence of left atrial size on P-wave morphology:differential effects of dilation and hypertrophy[J]. Europace,2018,20(suppl_3):iii36-iii44.

[14]Achmad C,Tiksnadi BB,Akbar MR,et al. Left volume atrial index and P-wave dispersion as predictors of postoperative atrial fibrillation after coronary artery bypass graft:a retrospective cohort study[J]. Curr Probl Cardiol,2023,48(3):101031.

[15]Marks D,Ho R,Then R,et al. Real-world experience with implantable loop recorder monitoring to detect subclinical atrial fibrillation in patients with cryptogenic stroke:the value of p wave dispersion in predicting arrhythmia occurrence[J]. Int J Cardiol,2021,327:86-92.

[16]Lebek S,Wester M,Pec J,et al. Abnormal P-wave terminal force in lead V1 is a marker for atrial electrical dysfunction but not structural remodelling [J]. ESC Heart Fail,2021,8(5):4055-4066.

[17]Wolder LD,Graff C,Baadsgaard KH,et al. The electrocardiographic P terminal force in lead V1,its components and the association with stroke and atrial fibrillation or flutter[J]. Heart Rhythm, 2023 ,20(3):354-362.

[18]Power DA,Lampert J,Camaj A,et al. Cardiovascular complications of interatrial conduction block:JACC state-of-the-art review[J]. J Am Coll Cardiol,2022,79(12):1199-1211.

[19]Bisbal F,Baranchuk A,Braunwald E,et al. Atrial failure as a clinical entity:JACC review topic of the week[J]. J Am Coll Cardiol,2020,75(2):222-232.

[20]Auricchio A,?zkartal T,Salghetti F,et al. Short P-wave duration is a marker of higher rate of atrial fibrillation recurrences after pulmonary vein isolation:new insights into the pathophysiological mechanisms through computer simulations[J]. J Am Heart Assoc,2021,10(2):e018572.

[21]Dhaliwal KK,Upadhya B,Soliman EZ,et al. Association of P-wave axis with incident atrial fibrillation in diabetes mellitus (from the ACCORD trial)[J]. Am J Cardiol,2020,128:191-195.

[22]Maheshwari A,Norby FL,Soliman EZ,et al. Abnormal P-wave axis and ischemic stroke:the ARIC study (atherosclerosis risk in communities)[J]. Stroke,2017,48(8):2060-2065.

[23]Maheshwari A,Norby FL,Roetker NS,et al. Refining prediction of atrial fibrillation-related stroke using the P2-CHA2DS2-VASc Score[J]. Circulation,2019,139(2):180-191.

[24]Trayanova NA,Popescu DM,Shade JK. Machine learning in arrhythmia and electrophysiology[J]. Circ Res,2021,128(4):544-566.

[25]Yang HW,Hsiao CY,Peng YQ,et al. Identification of patients with potential atrial fibrillation during sinus rhythm using isolated P wave characteristics from 12-lead ECGs[J]. J Pers Med,2022,12(10):1608.

[26]Tse G,Lakhani I,Zhou J,et al. P-wave area predicts new onset atrial fibrillation in mitral stenosis:a machine learning approach[J]. Front Bioeng Biotechnol,2020,8:479.

[27]Ouyang CS,Chen YJ ,Tsai JT,et al. Data mining analysis of the influences of electrocardiogram P-wave morphology parameters on atrial fibrillation [J]. Journal of Intelligent & Fuzzy Systems,2021,40(4):7901-7908.

[28]Zhou J,Lee S,Liu Y,et al. Predicting stroke and mortality in mitral regurgitation:a machine learning approach[J]. Curr Probl Cardiol,2023,48(2):101464.

[29]Wu C,Hwang M,Huang TH,et al. Application of artificial intelligence ensemble learning model in early prediction of atrial fibrillation[J]. BMC Bioinformatics ,2021,22(suppl 5):93.

[30]Baturova MA,Svensson A,Aneq M?,et al. Evolution of P-wave indices during long-term follow-up as markers of atrial substrate progression in arrhythmogenic right ventricular cardiomyopathy[J]. Europace,2021,23(23 suppl 1):i29-i37.

[31]Aizawa Y,Sato T,Akazawa K. Prevalence,significance and reversal of abnormal P-wave indices in hypertension:a review and meta-analysis[J]. J Electrocardiol,2019,53:13-17.

[32]Ostrowska B,Lind L,Sciaraffia E,et al. A short P-wave duration is associated with incident heart failure in the elderly:a 15 years follow-up cohort study[J]. J Geriatr Cardiol,2022,19(9):643-650.

[33]Abdellah AT,El-Nagary M. Prevalence of P wave dispersion and interatrial block in patients with systolic heart failure and their relationship with functional status,hospitalization and one year mortality[J]. Egypt Heart J,2018,70(3):181-187.

[34]?inier G,Tekke?in A?,Gen? D,et al. Interatrial block as a predictor of atrial fibrillation in patients with ST-segment elevation myocardial infarction[J]. Clin Cardiol,2018,41(9):1232-1237.

[35]Demirci B,Coskun A,Bakar C,et al. Relationship of V1 derivation biphasic P waves with morbidity and mortality in myocardial infarction cases[J]. J Coll Physicians Surg Pak,2022,32(8):963-968.

更新日期/Last Update: 2023-11-15