The effect of rapid blood pressure control on P-wave dispersion in hypertensive urgency

Karaca I., DURUKAN P. , Dagli N., Yavuzkir M., Ikizceli I. , BALIN M.

ADVANCES IN THERAPY, vol.25, no.12, pp.1303-1314, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 12
  • Publication Date: 2008
  • Doi Number: 10.1007/s12325-008-0120-0
  • Title of Journal : ADVANCES IN THERAPY
  • Page Numbers: pp.1303-1314


A sharp increase in blood pressure, increase in atrial pressure and atrial strain, left ventricular diastolic dysfunction, and left ventricular hypertrophy (LVH) lead to heterogeneity and instability in atrial conduction. The resulting physiopathological situation may elevate maximum Pwave duration (P-max) and P-wave dispersion (PWD) in electrocardiography. The objective of our study was to explore the effect of the sudden change in atrial hemodynamics on P-max and PWD, which may indicate the risk of atrial fibrillation (AF) development in hypertensive urgency.