Can I read Ectopic Atrial Rhythm After Superior Septal Approach to the Mitral Valve — an Often Under-reported Entity on EtoBox?

Ectopic Atrial Rhythm After Superior Septal Approach to the Mitral Valve — an Often Under-reported Entity by Atul Abraham; Varghese Thomas Panicker; Krishna Kumar Mohanan Nair; Jayakumar Karunakaran is a Medicine article available to read on EtoBox.

What is Ectopic Atrial Rhythm After Superior Septal Approach to the Mitral Valve — an Often Under-reported Entity about?

Purpose Very few reports elaborate on the changes in P wave following superior septal approach to the mitral valve. We aimed to describe the changes in the P wave axis and other electrocardiographic changes following this approach among patients preoperatively in sinus rhythm. Methods We did a retrospective review of medical records among all our patients undergoing superior septal approach for mitral valve surgery from September 2014 to September 2019. Electrocardiograms during hospital stay and until 6-month follow-up were analyzed. A deviation in P wave axis from the normal range of + 30 to + 60° was classified as ectopic atrial rhythm. Results In the study population of 47 patients (age 16-75 years, 51.3 ± 13.6 years; M:F ratio 3.7:1), who were in normal sinus rhythm preoperatively, 34 patients (72.3%) had a visible P wave on electrocardiogram (ECG) at discharge. Among them, the P wave axes of 17 patients (36.2%) were within normal range (normal sinus rhythm), whereas 17 patients (36.2%) had ectopic atrial rhythm at discharge. The most frequent abnormal P wave axis was between 0 and -30° (12 patients). At 6 months, 8 patients (17.0%) had a persistent ectopic atrial rhythm. Thes

Who reads Ectopic Atrial Rhythm After Superior Septal Approach to the Mitral Valve — an Often Under-reported Entity?

Author

Atul Abraham; Varghese Thomas Panicker; Krishna Kumar Mohanan Nair; Jayakumar Karunakaran

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)