Changes in surface electrocardiogram in patients with chronic thromboembolic pulmonary hypertension undergoing pulmonary endarterectomy. Correlations with hemodynamic and echocardiographic improvements after surgery

被引：18

作者：

Ghio, Stefano ^{[1
]}

Turco, Annalisa ^{[1
]}

Klersy, Catherine ^{[2
]}

Scelsi, Laura ^{[1
]}

Raineri, Claudia ^{[1
]}

Crescio, Valeria ^{[1
]}

Viscardi, Arianna ^{[1
]}

Grazioli, Valentina ^{[3
]}

Sciortino, Antonio ^{[3
]}

Visconti, Luigi Oltrona ^{[1
]}

D'Armini, Andrea Maria ^{[3
]}

机构：

[1] Fdn IRCCS Policlin San Matteo, Div Cardiol, Piazza Golgi 19, I-27100 Pavia, Italy

[2] Fdn IRCCS Policlin San Matteo, Serv Biometr & Stat, Piazza Golgi 19, I-27100 Pavia, Italy

[3] Univ Pavia, Sch Med, Unit Cardiac Surg Cardiothorac Transplantat & Pul, Pavia, Italy

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2016年 / 49卷 / 02期

关键词：

Pulmonary hypertension; Electrocardiogram; RIGHT-VENTRICULAR HYPERTROPHY; DIAGNOSIS; PRESSURE; CRITERIA; ECG; OVERLOAD;

D O I：

10.1016/j.jelectrocard.2015.12.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The aim of the present study was to evaluate the changes of electrocardiographic (ECG) markers of right ventricular (RV) hypertrophy/overload in patients with chronic thromboembolic pulmonary hypertension (CTEPH) undergoing pulmonary endarterectomy (PEA). Methods and results: We evaluated 99 CTEPH patients who underwent PEA. P wave amplitude in DII, R wave amplitude in V1 and the number of patients with negative T wave in V1-V3 decreased significantly at 1 month after surgery with no further change at 1 year, in parallel with the rapid improvement in right heart hemodynamics. S wave amplitude in V1, R:S wave ratio in lead V6 and prevalence of SIQIII pattern improved significantly at 1 year, in parallel with the progressive reverse remodeling of the right ventricle at echocardiography. Conclusions: The study shows that some of the ECG markers of RV hypertrophy/overload better reflect RV hemodynamic overload while others better reflect the pathologic remodeling of the right ventricle. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：223 / 230

页数：8

共 25 条

[1] Electrocardiography to define clinical status in primary pulmonary hypertension and pulmonary arterial hypertension secondary to collagen vascular disease [J].

Ahearn, GS ;

Tapson, VF ;

Rebeiz, A ;

Greenfield, JC .

CHEST, 2002, 122 (02) :524-527

[2] Predictive values of the electrocardiogram in diagnosing pulmonary hypertension [J].

Al-Naamani, Khalid ;

Hijal, Tarek ;

Nguyen, Viviane ;

Andrew, Steve ;

Nguyen, Tam ;

Huynh, Thao .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 127 (02) :214-218

[3]

Blyth Kevin G, 2011, Pulm Circ, V1, P470, DOI 10.4103/2045-8932.93546

[4] The prognostic role of the ECG in primary pulmonary hypertension [J].

Bossone, E ;

Paciocco, G ;

Iarussi, D ;

Agretto, A ;

Iacono, A ;

Gillespie, BW ;

Rubenfire, M .

CHEST, 2002, 121 (02) :513-518

[5] IDENTIFICATION OF ELECTROCARDIOGRAPHIC CRITERIA FOR DIAGNOSIS OF RIGHT VENTRICULAR HYPERTROPHY DUE TO MITRAL-STENOSIS [J].

BUTLER, PM ;

LEGGETT, SI ;

HOWE, CM ;

FREYE, CJ ;

HINDMAN, NB ;

WAGNER, GS .

AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (08) :639-643

[6] Reverse right ventricular remodeling after pulmonary endarterectomy [J].

D'Armini, Andrea M. ;

Zanotti, Giorgio ;

Ghio, Stefano ;

Magrini, Giulia ;

Pozzi, Matteo ;

Scelsi, Laura ;

Meloni, Giulia ;

Klersy, Catherine ;

Vigano, Mario .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2007, 133 (01) :162-168

[7] 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT) [J].

Galie, Nazzareno ;

Humbert, Marc ;

Vachiery, Jean-Luc ;

Gibbs, Simon ;

Lang, Irene ;

Torbicki, Adam ;

Simonneau, Gerald ;

Peacock, Andrew ;

Noordegraaf, Anton Vonk ;

Beghetti, Maurice ;

Ghofrani, Ardeschir ;

Gomez Sanchez, Miguel Angel ;

Hansmann, Georg ;

Klepetko, Walter ;

Lancellotti, Patrizio ;

Matucci, Marco ;

McDonagh, Theresa ;

Pierard, Luc A. ;

Trindade, Pedro T. ;

Zompatori, Maurizio ;

Hoeper, Marius .

EUROPEAN HEART JOURNAL, 2016, 37 (01) :67-+

[8] Improved ECG detection of presence and severity of right ventricular pressure load validated with cardiac magnetic resonance imaging [J].

Henkens, Ivo R. ;

Mouchaers, Koen T. B. ;

Vonk-Noordegraaf, Anton ;

Boonstra, Anco ;

Swenne, Cees A. ;

Maan, Arie C. ;

Man, Sum-Che ;

Twisk, Jos W. R. ;

van der Wall, Ernst E. ;

Schalij, Martin J. ;

Vliegen, Hubert W. .

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2008, 294 (05) :H2150-H2157

[9] ECG Monitoring of Treatment Response in Pulmonary Arterial Hypertension Patients [J].

Henkens, Ivo R. ;

Gan, Tji-Joong ;

van Wolferen, Serge A. ;

Hew, Miki ;

Boonstra, Anco ;

Twisk, Jos W. R. ;

Kamp, Otto ;

van der Wall, Ernst E. ;

Schalij, Martin J. ;

Noordegraaf, Anton Vonk ;

Vliegen, Hubert W. .

CHEST, 2008, 134 (06) :1250-1257

[10] Electrocardiographic detection of right ventricular pressure overload in patients with suspected pulmonary hypertension [J].

Kamphuis, Vivian P. ;

Haeck, Marlieke L. A. ;

Wagner, Galen S. ;

Maan, Arie C. ;

Maynard, Charles ;

Delgado, Victoria ;

Vliegen, Hubert W. ;

Swenne, Cees A. .

JOURNAL OF ELECTROCARDIOLOGY, 2014, 47 (02) :175-182

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