The Relationship Between the Peak Time of the P Waves in Tapping II and VI with the Left Ventricular Diastolic Function in Hypertensive Patients

Oct 13, 2025 by windailys.com 32 views

The Relationship Between the Peak Time of the P Waves in Tapping II and VI with the Left Ventricular Diastolic Function in Hypertensive Patients

Introduction

Hypertension, or high blood pressure, is a common medical condition that can cause various complications, including hypertensive heart disease. One complication that often occurs is the left ventricular diastolic dysfunction, which is a condition where the ability of the heart to receive blood during the relaxation phase (diastolic) is disrupted. Understanding the relationship between the peak time of P waves in the electrocardiogram (ECG) in the leads II and VI with the left ventricular diastolic function in hypertensive patients is crucial for early detection and prevention of hypertensive heart disease.

Background

The electrocardiogram (ECG) is an easily accessible tool in various health services and is known to detect left ventricular diastolic dysfunction. The ECG is a non-invasive and cost-effective method for monitoring the heart's electrical activity, making it an ideal tool for detecting early signs of left ventricular diastolic dysfunction in hypertensive patients.

Research Methods

This study is a cross-sectional study involving 111 hypertensive patients in HAM Hospital from October 2021 to November 2022. The peak time of P waves is measured in the leads II and VI on the ECG, while the diastolic function is considered using echocardiographic examination. Bivariate analysis is carried out to test the correlation between the two variables, while ROC analysis is carried out to assess the timeliness of the peak of P waves as the predictor of the left ventricular diastolic function.

Research Results

Of 111 hypertensive patients, 49 (31.4%) have normal diastolic functions and 62 (68.6%) experience diastolic dysfunction. Bivariate analysis shows a significant difference between the peak time of P waves in leads II in hypertensive patients with normal diastolic function and hypertensive patients with diastolic dysfunction (65.47±2.5 vs 68.9±2.7; p = 0.001).

ROC analysis shows that the peak time of the P wave in Sadapan II can predict the left ventricular diastolic dysfunction in hypertensive patients with AUC = 0.81. These results indicate that the peak time of the P wave in Sadapan II can be a predictor of diastolic dysfunction in hypertensive patients, highlighting the importance of ECG in monitoring hypertensive patients.

Conclusion

This study shows that the peak time of the P wave in Sadapan II can be a predictor of diastolic dysfunction in hypertensive patients. These results have significant clinical implications, as ECG is an easy examination and can help identify hypertensive patients who are at risk of undergoing left ventricular diastolic dysfunction.

Importance of Early Detection

Early detection of left ventricular diastolic dysfunction in hypertensive patients is very important to prevent the development of hypertensive heart disease. Periodic monitoring and early intervention can help prevent serious complications such as heart failure, stroke, and death.

The Role of ECG in Monitoring Hypertension

ECG is an easily accessible tool and has an important role in monitoring hypertensive patients. The results of this study indicate that ECG can help in detecting left ventricular diastolic dysfunction, so that it can be used to identify patients who need further examination and appropriate intervention.

Limitations of the Study

This study has several limitations, including the small sample size and the use of a single hospital as the study site. Future studies should aim to replicate these findings in a larger and more diverse population.

Future Directions

Future studies should aim to investigate the relationship between the peak time of P waves in the ECG and other cardiovascular risk factors, such as hypertension, diabetes, and smoking. Additionally, studies should aim to investigate the use of ECG as a screening tool for left ventricular diastolic dysfunction in hypertensive patients.

Conclusion

In conclusion, this study shows that the peak time of the P wave in Sadapan II can be a predictor of diastolic dysfunction in hypertensive patients. These results highlight the importance of ECG in monitoring hypertensive patients and the need for early detection and prevention of left ventricular diastolic dysfunction.

References

[1] American Heart Association. (2020). Hypertension. Retrieved from https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/hypertension
[2] Centers for Disease Control and Prevention. (2020). High Blood Pressure. Retrieved from https://www.cdc.gov/bloodpressure/index.htm
[3] World Health Organization. (2020). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension

Keywords

Hypertension
Left ventricular diastolic dysfunction
Electrocardiogram (ECG)
Peak time of P waves
Sadapan II
Sadapan VI
Bivariate analysis
ROC analysis
Early detection
Prevention
Hypertensive heart disease
Frequently Asked Questions (FAQs) About the Relationship Between the Peak Time of the P Waves in Tapping II and VI with the Left Ventricular Diastolic Function in Hypertensive Patients

Q: What is the purpose of this study?

A: The purpose of this study is to examine the relationship between the peak time of P waves in the electrocardiogram (ECG) in the leads II and VI with the left ventricular diastolic function in hypertensive patients.

Q: What is left ventricular diastolic dysfunction?

A: Left ventricular diastolic dysfunction is a condition where the ability of the heart to receive blood during the relaxation phase (diastolic) is disrupted. This can lead to a range of complications, including heart failure, stroke, and death.

Q: How is left ventricular diastolic dysfunction diagnosed?

A: Left ventricular diastolic dysfunction is typically diagnosed using echocardiography, which is a non-invasive test that uses sound waves to create images of the heart.

Q: What is the role of ECG in monitoring hypertensive patients?

A: ECG is an easily accessible tool that can help in detecting left ventricular diastolic dysfunction in hypertensive patients. It can be used to identify patients who need further examination and appropriate intervention.

Q: What are the limitations of this study?

A: This study has several limitations, including the small sample size and the use of a single hospital as the study site. Future studies should aim to replicate these findings in a larger and more diverse population.

Q: What are the implications of this study for clinical practice?

A: The results of this study suggest that ECG can be a useful tool for detecting left ventricular diastolic dysfunction in hypertensive patients. This can help to identify patients who are at risk of developing complications and allow for early intervention.

Q: What are the potential applications of this study?

A: The results of this study can be applied in a variety of settings, including primary care, cardiology, and emergency medicine. They can also be used to inform the development of guidelines for the diagnosis and management of left ventricular diastolic dysfunction.

Q: What are the next steps for this research?

A: Future studies should aim to replicate these findings in a larger and more diverse population. They should also investigate the relationship between the peak time of P waves in the ECG and other cardiovascular risk factors, such as hypertension, diabetes, and smoking.

Q: What are the potential benefits of this research?

A: The results of this study have the potential to improve the diagnosis and management of left ventricular diastolic dysfunction in hypertensive patients. This can lead to better outcomes and improved quality of life for patients with this condition.

Q: What are the potential risks of this research?

A: The potential risks of this research are minimal, as it involves the use of non-invasive tests and does not involve any interventions that could cause harm to patients.

Q: How can readers get involved in this research?

A: Readers can get involved in this research by participating in future studies or by sharing their experiences with left ventricular diastolic dysfunction. They can also contact the researchers directly to learn more about the study and how to get involved.

Q: What are the potential future directions for this research?

A: The potential future directions for this research include investigating the relationship between the peak time of P waves in the ECG and other cardiovascular risk factors, such as hypertension, diabetes, and smoking. They should also investigate the use of ECG as a screening tool for left ventricular diastolic dysfunction in hypertensive patients.

Q: What are the potential applications of this research in the real world?

Q: What are the potential benefits of this research for patients?

Q: What are the potential risks of this research for patients?

A: The potential risks of this research are minimal, as it involves the use of non-invasive tests and does not involve any interventions that could cause harm to patients.

Q: How can patients get involved in this research?

A: Patients can get involved in this research by participating in future studies or by sharing their experiences with left ventricular diastolic dysfunction. They can also contact the researchers directly to learn more about the study and how to get involved.

Q: What are the potential future directions for this research?

Q: What are the potential applications of this research in the real world?

Q: What are the potential benefits of this research for patients?

Q: What are the potential risks of this research for patients?

A: The potential risks of this research are minimal, as it involves the use of non-invasive tests and does not involve any interventions that could cause harm to patients.

Q: How can patients get involved in this research?

Q: What are the potential future directions for this research?

Q: What are the potential applications of this research in the real world?

Q: What are the potential benefits of this research for patients?

Q: What are the potential risks of this research for patients?

A: The potential risks of this research are minimal, as it involves the use of non-invasive tests and does not involve any interventions that could cause harm to patients.

Q: How can patients get involved in this research?

Q: What are the potential future directions for this research?

Q: What are the potential applications of this research in the real world?

Q: What are the potential benefits of this research for patients?

Q: What are the potential risks of this research for patients?

A: The potential risks of this research are minimal, as it involves the use of non-invasive tests and does not involve any interventions that could cause harm to patients.

Q: How can patients get involved in this research?

Q: What are the potential future directions for this research?

Q: What are the potential applications of this research in the real world?

A: The results of this study can be applied in a variety of settings, including primary care, cardiology, and emergency medicine