Is there any link between atrial arrhythmias and inflammatory bowel disease?
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wolters Kluwer Medknow Publications
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Inflammation plays an important role in the development of cardiovascular disease, including atherosclerosis and arrhythmia. The aim of this study was to evaluate atrial conduction times (ACTs) in patients with inflammatory bowel disease (IBD) in which systemic chronic inflammation is evident. Methods: In this cross-sectional, prospective, single-center study, 79 IBD patients (51 ulcerative colitis; 28 Crohn's disease) and 70 healthy controls were included. Atrial electromechanical properties were measured by recording simultaneous surface electrocardiography (ECG) with transthoracic echocardiography (ECHO) and tissue Doppler imaging methods. The relationship between age, disease duration, and ACT was evaluated. Results: There were significantly increased conduction durations of lateral-PA (time interval from the onset of the P-wave on surface ECG to the beginning of the late diastolic wave), septal-PA, tricuspid-PA, and interatrial-electromechanical delay (IA-EMD), right intraatrial EMD, and left intraatrial (LI-EMD) durations in IBD patients (P < 0.001). In IBD patients, there was a positive correlation with age, lateral PA, septal PA, tricuspid PA, IA-EMD, and LI-EMD (P < 0.05). A positive correlation was found between disease duration and only lateral PA and tricuspid PA (P < 0.05). Conclusion: In IBD patients, prolonged ACT consists a potential risk for severe atrial arrhythmias. ECG and ECHO screening can be useful in identifying risk groups in IBD patients and taking precautions for future cardiac complications. © 2021 Saudi Journal of Gastroenterology Published by Wolters Kluwer - Medknow.
Açıklama
Anahtar Kelimeler
Crohn disease, electrocardiography, heart rate, ulcerative colitis, adult, age, Article, chronic inflammation, controlled study, correlation analysis, Crohn disease, cross-sectional study, diastole, disease association, disease duration, disease severity, electrocardiography, excitation contraction coupling, female, heart atrium arrhythmia, heart atrium conduction, heart left ventricle ejection fraction, heart left ventricle enddiastolic diameter, heart left ventricle endsystolic diameter, human, inflammatory bowel disease, major clinical study, male, P wave, prospective study, risk assessment, tissue Doppler imaging, transthoracic echocardiography, ulcerative colitis, complication, diagnostic imaging, Doppler echocardiography, heart arrhythmia, heart muscle conduction system, inflammatory bowel disease, Arrhythmias, Cardiac, Cross-Sectional Studies, Echocardiography, Doppler, Electrocardiography, Heart Conduction System, Humans, Inflammatory Bowel Diseases, Prospective Studies
Kaynak
Saudi Journal of Gastroenterology
WoS Q Değeri
Q3
Scopus Q Değeri
Q3
Cilt
27
Sayı
5
