Original Article

Assessment of atrial conduction time by tissue doppler echocardiography and P-wave dispersion in patients with benign prostatic hyperplasia


Ayhan Cosgun1, Huseyin Oren2

1Department of Cardiology, Sincan State Hospital, Ankara, Turkey
2Department of Cardiology, Ankara City Hospital, Ankara, Turkey


Abstract


Background: Attention is drawn to the increased incidence of atrial fibrillation in patients with benign prostatic hyperplasia recently. Atrial electromechanical delay and P-wave dispersion are considered precursors of atrial fibrillation. Our study aimed to determine the relationship between atrial electromechanical delay and P-wave dispersion times according to the symptom severity of benign prostatic hyperplasia patients.
Methods: A total of 218 patients was included in the study. According to the severity of the International Consensus Committee concerning the Prostate Symptom Score questionnaire of the patients, the patients were divided into three groups as mild, moderate, and severe. There were 78 patients in group 1, 86 patients in group 2, and 54 patients in group 3. Atrial electromechanical delay times and P-wave dispersion times were measured for each patient.
Results: When all three groups were compared, there was a statistically significant difference in terms of P-wave dispersion and atrial electromechanical delay times. There was a significant positive correlation between International Consensus Committee concerning the Prostate Symptom Scores and P-wave dispersion, atrial electromechanical delay times in all three groups.
Conclusions: Atrial electromechanical delay and P-wave dispersion times were considered as cheap and simple methods that can be used for risk stratification and the selection of patients with a high risk of future atrial fibrillation occurs in benign prostatic hyperplasia patients.

Keywords: atrial fibrillation; echocardiography; electrocardiography; prostatic hyperplasia