P Wave Morphological Changes in Ecg and  its Correlation with Clinical, Radiological  and 2 D Echo Profile in Cardiovascular  Disorders

Dr. Bhavesh K. Patel; Dr. Bhavita B. Patel; Dr. Nirmit V. Yajnik; Dr. Priyank Mody; Dr. Jit Brahmbhatt; Dr. Rajesh Patel

Volume : III, Issue : I, January - 2014

P Wave Morphological Changes in Ecg and its Correlation with Clinical, Radiological and 2 D Echo Profile in Cardiovascular Disorders

Dr. Bhavesh K. Patel, Dr. Bhavita B. Patel, Dr. Nirmit V. Yajnik, Dr. Priyank Mody, Dr. Jit Brahmbhatt, Dr. Rajesh Patel

Abstract :

Title: P wave morphological changes in ECG and its correlation with clinical, radiological and 2 D Echo profile in cardiovascular disorders Introduction: ECG is the easiest diagnostic tool. P wave morphological changes are found in cardiovascular disorders. These changes suggest many changes in heart and correlated with echocardiography. and can be used as diagnostic tool and severity of condition. Aims and objectives: 1)To study P wave morphological changes in ECG in cardiovascular disorders.2)To Establish correlation between P wave morphological changes in ECG with clinical, radiological, and Echo profile in cardiovascular disorders. Materials and methods: A prospective study of 100 cardio-vascular disorders cases having P wave changes in ECG from March 2011 for one and half year in Dhiraj Hospital. All P wave changes were correlated with clinical, radiological and 2 D Echo profile. Results: Amongst 50 cardiac cases 40 had RHD and 10 had IHD. Amongst cardiac cases P wave duration in lead II and P terminal force in lead V1 were significantly co related with LA in RHD cases (p value<0.05), while in IHD cases with P wave changes they were not correlated (p value>0.05).In RHD cases P wave duration in lead II had moderate correlation with LA (r value =0.6), while P terminal force in lead V1 has poor correlation with LA (r value=0.38) . Conclusion: To conclude from this study, P wave morphology changes in ECG has significant correlation with severity of disease and chamber enlargement in left sided valvular heart disease, but not in IHD.