Current issue
About the Journal
Scientific Council
Editorial Board
Regulatory and archival policy
Code of publishing ethics
Publisher
Information about the processing of personal data in relation to cookies and newsletter subscription
Archive
For Authors
For Reviewers
Contact
Reviewers
Annals reviewers in 2023
Annals reviewers in 2022
Annals reviewers in 2021
Annals reviewers in 2020
Annals reviewers in 2019
Annals reviewers in 2018
Annals reviewers in 2017
Annals reviewers in 2016
Annals reviewers in 2015
Annals reviewers in 2014
Annals reviewers in 2013
Annals reviewers in 2012
Links
Sklep Wydawnictwa SUM
Biblioteka Główna SUM
Śląski Uniwersytet Medyczny w Katowicach
Privacy policy
Accessibility statement
Reviewers
Annals reviewers in 2023
Annals reviewers in 2022
Annals reviewers in 2021
Annals reviewers in 2020
Annals reviewers in 2019
Annals reviewers in 2018
Annals reviewers in 2017
Annals reviewers in 2016
Annals reviewers in 2015
Annals reviewers in 2014
Annals reviewers in 2013
Annals reviewers in 2012
Electrocardiographic history of pulmonary arterial hypertension – from diagnosis, through pregnancy, to lung transplantation
1
1st Department of Cardiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
Corresponding author
Karolina Bula
Doctoral School, 1st Department of Cardiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland, ul. Ziołowa 47, 40-635 Katowice
Doctoral School, 1st Department of Cardiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland, ul. Ziołowa 47, 40-635 Katowice
Ann. Acad. Med. Siles. 2023;77:128-136
KEYWORDS
TOPICS
ABSTRACT
The frequency and nature of electrocardiographic changes in patients with pulmonary hypertension varies significantly depending on the severity of the illness. In mild cases, electrocardiogram (ECG) may be normal. We present the consecutive ECGs of a patient with pulmonary arterial hypertension (PAH) in the 5-year course of the disease – from diagnosis to lung transplantation. The described case shows the variability of ECG changes in correlation with the clinical state of the patient. The observed ECG abnormalities in PAH are reversible and in the presented case ECG normalized after lung transplantation.
FUNDING
This research received no external funding.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
REFERENCES (24)
1.
Humbert M., Kovacs G., Hoeper M.M., Badagliacca R., Berger R.M.F., Brida M. et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur. Heart J. 2022; 43(38): 3618–3731, doi: 10.1093/eurheartj/ehac237.
2.
Myers G.B., Klein H.A., Stofer B.E. The electrocardiographic diagnosis of right ventricular hypertrophy. Am. Heart J. 1948; 35(1): 1–40, doi: 10.1016/0002-8703(48)90182-3.
3.
Sokolow M., Lyon T.P. The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and limb leads. Am. Heart J. 1949; 37(2): 161–186, doi: 10.1016/0002-8703(49)90562-1.
4.
Zalecenia dotyczące stosowania rozpoznań elektrokardiograficznych. Red.: R. Baranowski, D. Wojciechowski, M. Maciejewska. Kardiol. Pol. 2010; 68(supl. IV): 1–56.
5.
Glowacki K., Grabka M., Myszor J., Maciejewski T., Witek A., Kucewicz-Czech E. et al. Pregnant 30-year-old with idiopathic pulmonary arterial hypertension. Ginekol. Pol. 2021; 92(3): 252–253, doi: 10.5603/GP.a2020.0156.
6.
Igata S., Tahara N., Sugiyama Y., Bekki M., Kumanomido J., Tahara A. et al. Utility of the amplitude of RV1+SV5/6 in assessment of pulmonary hyper-tension. PLoS One 2018; 13(11): e0206856, doi: 10.1371/journal.pone.0206856.
7.
Nishiyama T., Takatsuki S., Kawakami T., Katsumata Y., Kimura T., Kataoka M. et al. Improvement in the electrocardiograms associated with right ventricular hypertrophy after balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension. Int. J. Cardiol. Heart Vasc. 2018; 19: 75–82, doi: 10.1016/j.ijcha.2018.05.003.
8.
Sato S., Ogawa A., Matsubara H. Change in R wave in lead V1 predicts survival of patients with pulmonary arterial hypertension. Pulm. Circ. 2018; 8(2): 2045894018776496, doi: 10.1177/2045894018776496.
9.
Bossone E., Paciocco G., Iarussi D., Agretto A., Iacono A., Gillespie B.W. et al. The prognostic role of the ECG in primary pulmonary hypertension. Chest 2002; 121(2): 513–518, doi: 10.1378/chest.121.2.513.
10.
Waligóra M., Tyrka A., Podolec P., Kopeć G. ECG Markers of hemodynamic improvement in patients with pulmonary hypertension [published correction appears in Biomed. Res. Int. 2018; 2018: 1541709]. Biomed. Res. Int. 2018; 2018: 4606053, doi: 10.1155/2018/4606053.
11.
Michalski T.A., Pszczola J., Lisowska A., Knapp M., Sobkowicz B., Kaminski K. et al. ECG in the clinical and prognostic evaluation of patients with pulmonary arterial hypertension: an underestimated value. Ther. Adv. Respir. Dis. 2022; 16: 17534666221087846, doi: 10.1177/17534666221087846.
12.
Cheng X.L., He J.G., Liu Z.H., Gu Q., Ni X.H., Zhao Z.H. et al. The value of the electrocardiogram for evaluating prognosis in patients with idiopathic pulmonary arterial hypertension. Lung 2017; 195(1): 139–146, doi: 10.1007/s00408-016-9967-z.
13.
Piłka M., Darocha S., Banaszkiewicz M., Florczyk M., Wieteska M., Dobosiewicz A. et al. The evolution of electrocardiographic signs of right ventricular overload after balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension. Pol. Arch. Intern. Med. 2019; 129(7–8): 451–459, doi: 10.20452/pamw.14877.
14.
Tonelli A.R., Baumgartner M., Alkukhun L., Minai O.A., Dweik R.A. Electrocardiography at diagnosis and close to the time of death in pulmonary arterial hypertension. Ann. Noninvasive Electrocardiol. 2014; 19(3): 258–265, doi: 10.1111/anec.12125.
15.
Ahearn G.S., Tapson V.F., Rebeiz A., Greenfield J.C. Jr. Electrocardiography to define clinical status in primary pulmonary hypertension and pulmonary arterial hypertension secondary to collagen vascular disease. Chest 2002; 122(2): 524–527, doi: 10.1378/chest.122.2.524.
16.
Lau K.C., Frank D.B., Hanna B.D., Patel A.R. Utility of electrocardiogram in the assessment and monitoring of pulmonary hypertension (idiopathic or secondary to pulmonary developmental abnormalities) in patients ≤ 18 years of age. Am. J. Cardiol. 2014; 114(2): 294–299, doi: 10.1016/j.amjcard.2014.04.039.
17.
Kim B.G., Uhm J.S., Yang P.S., Yu H.T., Kim T.H., Joung B. et al. Clinical significance of postoperative atrial arrhythmias in patients who underwent lung transplantation. Korean J. Intern. Med. 2020; 35(4): 897–905, doi: 10.3904/kjim.2018.326.
18.
Gandhi S.K., Bromberg B.I., Mallory G.B., Huddleston C.B. Atrial flutter: a newly recognized complication of pediatric lung transplantation. J. Thorac. Cardiovasc. Surg. 1996; 112(4): 984–991, doi: 10.1016/S0022-5223(96)70099-5.
19.
Azadani P.N., Kumar U.N., Yang Y., Scheinman M.M., Hoopes C.W., Marcus G.M. et al. Frequency of atrial flutter after adult lung transplantation. Am. J. Cardiol. 2011; 107(6): 922–926, doi: 10.1016/j.amjcard.2010.10.076.
20.
Orrego C.M., Cordero-Reyes A.M., Estep J.D., Seethamraju H., Scheinin S., Loebe M. et al. Atrial arrhythmias after lung transplant: underlying mechanisms, risk factors, and prognosis. J. Heart Lung Transplant. 2014; 33(7): 734–740, doi: 10.1016/j.healun.2014.02.032.
21.
Malik A., Hsu J.C., Hoopes C., Itinarelli G., Marcus G.M. Elevated pulmonary artery systolic pressures are associated with a lower risk of atrial fibrillation following lung transplantation. J. Electrocardiol. 2013; 46(1): 38–42, doi: 10.1016/j.jelectrocard.2012.07.014.
22.
Henri C., Giraldeau G., Dorais M., Cloutier A.S., Girard F., Noiseux N. et al. Atrial fibrillation after pulmonary transplantation: incidence, impact on mortality, treatment effectiveness, and risk factors. Circ. Arrhythm. Electrophysiol. 2012; 5(1): 61–67, doi: 10.1161/CIRCEP.111.964569.
23.
Kramer M.R., Valantine H.A., Marshall S.E., Starnes V.A., Theodore J. Recovery of the right ventricle after single-lung transplantation in pulmonary hypertension. Am. J. Cardiol. 1994; 73(7): 494–500, doi: 10.1016/0002-9149(94)90681-5.
24.
Kusano K.F., Date H., Fujio H., Miyaji K., Matsubara H., Nagahiro I. et al. Recovery of cardiac function after living-donor lung transplantation in a patient with primary pulmonary hypertension. Circ. J. 2002; 66(3): 294–296, doi: 10.1253/circj.66.294.
| eISSN: | 1734-025X |
The Medical University of Silesia in Katowice, as the Operator of the annales.sum.edu.pl website, processes personal data collected when visiting the website. The function of obtaining information about Users and their behavior is carried out by voluntarily entered information in forms, saving cookies in end devices, as well as by collecting web server logs, which are in the possession of the website Operator. Data, including cookies, are used to provide services in accordance with the Privacy policy.
You can consent to the processing of data for these purposes, refuse consent or access more detailed information.
You can consent to the processing of data for these purposes, refuse consent or access more detailed information.
