P-wave dispersion and its relationship with the severity of the disease in patients with stable coronary artery disease

Abstract

OBJECTIVE: P-wave dispersion (PD) is an indicator of inhomogeneous and discontinuous propagation of sinus impulses. In the present study we aimed to investigate the PD and its association with the severity of the disease. in patients with stable coronary artery disease. METHODS: We prospectively analyzed 60 subjects with coronary artery disease (CAD) and 25 subjects with normal coronary angiograms (control group). The maximum and minimum P-wave duration and PD were measured from the 12-lead surface electrocardiograms. The CAD severity was assessed by the severity score (Gensini score) and the number of vessels involved (vessel score). RESULTS: P max was longer in CAD group compared with the control group (p<0.001). PD was greater in the CAD group, compared with the control group (p<0.001). However, P min did not differ between the two groups. In bi-variate correlation, increased PD was correlated with presence of diabetes mellitus (r = 0.316, p = 0.014), smoking (r = 0.348, p = 0.006), left ventricular ejection fraction (r =-0.372, p = 0.003), vessel score (r = 0.848, p = 0.001), and Gensini score (r = 0.825, p = 0.001). Multiple linear regression analysis showed that PD was independently associated with vessel score ((3 = 0.139, p = 0.002) and Gensini score ((3 = 0.132, p = 0.007). CONCLUSION: PD was greater in patients with CAD than in controls and it was associated with CAD seventy.