Skip to main content
SpringerLink
Log in

P Wave Dispersion: Does It Have Any Clinical Role?

  • Published:
Cardiac Electrophysiology Review

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Moe GK. On the multiple wavelet hypothesis of atrial fibrillation. Arch Int Pharmacodyn Ther 1962;140:183-188.

    Google Scholar 

  2. Moe GK, Rheinbolt WC, Abildskov JA. A computer model of atrial fibrillation. Am Heart J 1964;67:200-220.

    Google Scholar 

  3. Tanigawa M, Fukatani M, Konoe A, Isomoto S, Kadena M, Hashiba K. Prolonged and fractionated right atrial electrograms during sinus rhythm in patients with paroxysmal atrial fibrillation and sick sinus node syndrome. J Am Coll Cardiol 1991;17:403-408.

    Google Scholar 

  4. Spach MS, Dolber PC. Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle: Evidence for electrical uncoupling of side-to-side fiber connections with increased age. Circ Res 1986;58:356-371.

    Google Scholar 

  5. Spach MS, Miller WT, Geselowitz DB, Barr RC, Kootsey JM, Johnson EA. The discontinuous nature of propagation in normal canine cardiac muscle: Evidence for recurrent discontinuities of intracellular resistance that affect the membrane currents. Circ Res 1981;48:39-54.

    Google Scholar 

  6. Allessie MA, Bonke FIM, Schopman FjG. Circus movement in rabbit atrial muscle as a mechanism of tachycardia, II: The role of nonuniform recovery of excitability in the occurrence of unidirectional block as studied with multiple microelectrodes. Circ Res 1976;39:168-177.

    Google Scholar 

  7. Michelucci A, Padeletti L, Chelucci A, Mezzani A, Porciani MC, Caruso F, Lebrun E, Bacci F, Martelli M, Gensini GF. Influence of age, lead axis, frequency of arrhythmic episodes, and atrial dimensions on P wave triggered SAECG in patients with lone paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 1996;19:758-767.

    Google Scholar 

  8. Buxton AE, Josephson ME. The role of P wave duration as a predictor of postoperative atrial arrhythmias. Chest 1981;80:68-73.

    Google Scholar 

  9. Villani GQ, Piepoli M, Rosi A, Capucci A. P-wave dispersion index: A marker of patients with paroxysmal atrial fibrillation. Int J Cardiol 1996;55:169-175.

    Google Scholar 

  10. Dilaveris PE, Gialafos EJ, Sideris SK, Theopistou AM, Andrikopoulos GK, Kyriakidis M, Gialafos JE, Toutouzas PK. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998;135:733-738.

    Google Scholar 

  11. Dubin AM. P wave dispersion as a predictor of intra-atrial reentry tachycardia in children with congenital heart disease. Circulation 1997;96(Suppl I):188.

    Google Scholar 

  12. Kloter Weber U, Osswald S, Huber M, Buser P, Skarvan K, Stulz P, Schmidhauser C, Pfisterer M. Selective versus nonselective antiarrhythmic approach for prevention of atrial fibrillation after coronary surgery: Is there a need for preoperative risk stratification? A prospective placebo-controlled study using low-dose sotalol. Eur Heart J 1998;19:794-800.

    Google Scholar 

  13. Gialafos JE, Dilaveris PE, Gialafos EJ, Andrikopoulos GK, Richter DJ, Triposkiadis F, Kyriakidis MK. P-wave dispersion: A valuable electrocardiographic marker for the prediction of paroxysmal lone atrial fibrillation. Ann Noninvas Electrocardiol 1999;4:39-45.

    Google Scholar 

  14. Dilaveris PE, Andrikopoulos GK, Metaxas G, Richter DJ, Avgeropoulou CK, Androulakis AM, Gialafos EJ, Michaelides AP, Toutouzas PK, Gialafos JE. Effects of ischemia on P wave dispersion and maximum P wave duration during spontaneous anginal episodes. Pacing Clin Electrophysiol 1999 (in press).

  15. Van Bemmel JH, Kors JA, Van Herpen G. Methodology of the Modular ECG Analysis System MEANS. Methods Inf Med 1990;29:346-353.

    Google Scholar 

  16. Yamada T, Fukunami M, Shimonagata T, Kumagai K, Sanada S, Ogita H, Asano Y, Hori M, Hoki N. Dispersion of signal-averaged P wave duration on precordial body surface in patients with paroxysmal atrial fibrillation. Eur Heart J 1999;20:211-220.

    Google Scholar 

  17. Kubara I, Ikeda H, Hiraki T, Yoshida T, Ohga M, Imaizumi T. Dispersion of filtered P wave duration by P wave signal-averaged ECG mapping system: Its usefulness for determining efficacy of disopyramide on paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 1999;10:670-679.

    Google Scholar 

  18. Stafford P, Vincent R. Three lead dispersion of P wave duration and energy in idiopathic atrial fibrillation. Pacing Clin Electrophysiol 1999;22(4 Pt. II):729.

    Google Scholar 

  19. Chang CM, Lee SH, Lu MJ, Lin CH, Chao HH, Cheng JJ, Kuan P, Hung CR. The role of P wave in prediction of atrial fibrillation after coronary artery surgery. Int J Cardiol 1999;68:303-308.

    Google Scholar 

  20. Bialy D, Lehman MH, Schumaker DN, Steinman RT, Meissmer MD. Hospitalization for arrhythmias in the United States: Importance of atrial fibrillation. J Am Coll Cardiol 1992;19:A41.

    Google Scholar 

  21. Lip GYH, Beevers DG, Singh SP, Watson RDS. ABC of atrial fibrillation: Aetiology, pathophysiology, and clinical features. Br Med J 1995;311:1425-1428.

    Google Scholar 

  22. Michelucci A, Padeletti L, Porciani MC, Gensini GF. P wave signal averaging. CEPR 1997;1(3):325-328.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The State Department of Cardiology, Hippokration Hospital, Athens, Greece

    Polychronis E. Dilaveris

Authors
  1. Polychronis E. Dilaveris
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dilaveris, P.E. P Wave Dispersion: Does It Have Any Clinical Role?. Card Electrophysiol Rev 3, 261–263 (1999). https://doi.org/10.1023/A:1009911800325

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1009911800325

Keywords

Search

Navigation