Validation of Normal P-Wave Parameters in a Large Unselected Pediatric Population of North-Western Romania: Results of the CARDIOPED Project | Zendy

Gabriel Cismaru | Zendy; Cecilia Lazea | Zendy; Lucian Mureşan | Zendy; Gabriel Guşetu | Zendy; Radu Roșu | Zendy; Dana Pop | Zendy; Dumitru Zdrenghea | Zendy; Anca Daniela Fărcaș | Zendy; Simona Căinap | Zendy

Open Access

Validation of Normal P-Wave Parameters in a Large Unselected Pediatric Population of North-Western Romania: Results of the CARDIOPED Project

Author(s) -

Gabriel Cismaru,

Cecilia Lazea,

Lucian Mureşan,

Gabriel Guşetu,

Radu Roșu,

Dana Pop,

Dumitru Zdrenghea,

Anca Daniela Fărcaș,

Simona Căinap

Publication year - 2021

Publication title -

disease markers

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.912

H-Index - 66

eISSN - 1875-8630

pISSN - 0278-0240

DOI - 10.1155/2021/6657982

Subject(s) - medicine , pediatrics , population , reference values , demography , normal values , duration (music) , correlation , mathematics , physics , environmental health , sociology , acoustics , geometry

Aims Reference values of the P-wave on 12 lead electrocardiograms are lacking for children and adolescents in Eastern Europe. Hence, the present study is aimed at determining the standard values of the P-wave in children and adolescents based on ECG data from the CARDIOPED project, a large-scale general population of children who participated in a screening program in Transylvania, Romania.Methods and Results A total of 22,411 ECGs of participants aged 6 to 18 years old from a school-based ECG screening were obtained between February 2015 and December 2015 in Transylvania, Romania. Three pediatric cardiologists manually reviewed each ECG. P-wave duration, voltage, axis, and correlation with gender and age were analyzed. The mean P-wave duration was 88 ± 10.7 ms, with a maximum duration of 128 ms. P-wave showed a positive correlation with age but did not differ between sexes. There was a positive correlation between the P-wave duration and the heart rate, but not with the body max index. The mean P-wave axis was 40.4 ± 31.1, and the mean P-wave amplitude was 0.12 ± 0.03 mV.Conclusion In this study on many pediatric subjects, we have provided normal limits for the P-wave in Romanian children aged 6-18 years. Our findings are useful for creating interpretation guidelines for pediatric ECG.

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