Maskeli Hipertansiyon ve P Dalga Dispersiyonu Arasındaki İlişkinin Değerlendirilmesi.

Background: Atrial fibrillation is the most common arrhythmia in daily practice. Hypertension is an independent risk factor for atrial fibrillation. P wave dispersion is one of the accepted non-invasive parameters to predict atrial fibrillation. In our study, we aimed to examine whether the P wave durations of the patients followed up with the diagnosis of masked hypertension differed compared to the control group. Materials and Methods: A total of 82 people were included in the study as 40 patients with masked hypertension, and 42 subjects with control group who were similar in terms of age and gender. The laboratory data and electrocardiography parameters of the individuals participating in the study were analyzed retrospectively. P wave durations were calculated from the ECG recordings of all participants. Results: P wave dispersion (44.88±5.63 ms vs. 38.38±6.21 ms, P < 0.001) and P maximum duration (127.28±4.19 ms vs. 121.38±6.05 ms, P < 0.001) in the masked hypertension group significantly higher than the group. Body mass index values of individuals with masked hypertension (26.28±.23 vs. 24.9±2.89, p=0.019) were found to be statistically higher than the control group, and there was no difference between the groups in terms of other laboratory data. P wave dispersion (odd ratio, 1.217;95% confidence interval:1.098-1.347, p<0.001) and body mass index (odds ratio, 1.239; 95% confidence interval: 1.010-1.521, p=0.040) in multivariate logistic regression analysis were found to be independent predıctors of masked hypertension. Conclusions: P wave dispersion and P max duration are prolonged in patients with masked hypertension and these parameters can be used to predict arrhythmia. [ABSTRACT FROM AUTHOR]