Identifying early left atrial dysfunction in individuals with obstructive sleep apnea: The role of the morphology-voltage-P wave duration electrocardiography score

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dc.contributor.authorKucuk, U.
dc.contributor.authorMutlu, P.
dc.contributor.authorMirici, A.
dc.contributor.authorOzpinar, U.
dc.contributor.authorOzpinar, Sb
dc.date.accessioned2025-05-29T02:58:16Z
dc.date.available2025-05-29T02:58:16Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Obstructive sleep apnea (OSA) can lead to left atrial (LA) dysfunction, which increases the risk of severe heart problems such as atrial fibrillation and heart failure. Early detection of LA dysfunction is essential to prevent these complications. We investigated whether the new morphology-voltage-P wave duration electrocardiography (MVP ECG) level could effectively identify early-stage LA functional abnormality in OSA individuals, as current diagnostic techniques have limitations. Methods: We studied a sample of 120 OSA patients using speckle-tracking echocardiography to assess LA function. After the echocardiography exam, we divided these individuals into two groups: those with regular LA and those with impaired LA functions. Our main measure of LA function was peak atrial longitudinal strain (PALS). Results: We found significant differences in PALS values between groups (p <0.001) despite having an equivalent LA size, suggesting occult LA dysfunction in OSA patients. The MVP ECG score proved effective in identifying LA dysfunction caused by changes in atrial structure (sensitivity: 89 %, specificity: 63 %, AUC: 0.862). Conclusions: The MVP ECG score is a promising non-invasive method to detect early atrial changes in OSA patients. Using this score in regular medical care could help physicians intervene earlier, potentially reducing the risk of heart problems in these high-risk individuals.
dc.identifier.endpage99
dc.identifier.issn1108-4189
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85219696921
dc.identifier.scopusqualityQ3
dc.identifier.startpage93
dc.identifier.urihttps://hdl.handle.net/20.500.12428/30307
dc.identifier.volume28
dc.identifier.wosWOS:001435491500002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherLithographia
dc.relation.ispartofHippokratia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250529
dc.subjectLeft atrial function
dc.subject12-lead electrocardiogram
dc.subjectstrain echocardiography
dc.titleIdentifying early left atrial dysfunction in individuals with obstructive sleep apnea: The role of the morphology-voltage-P wave duration electrocardiography score
dc.typeArticle

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