Abstract

Research Article

P wave dispersion in patients with premenstrual dysphoric disorder

Seyda Yavuzkir, Suna Aydin*, Melike Baspinar, Sevda Korkmaz, Murad Atmaca, Rulin Deniz, Yakup Baykus and Mustafa Yavuzkir

Published: 31 July, 2019 | Volume 4 - Issue 2 | Pages: 090-093

Background: Growing evidence has revealed that fear and anxiety related situations could affect cardiac parameters. P wave dispersion (Pd) is an important index. In the present study, we aimed to evaluate Pd values in patients with premenstrual dysphoric disorder.

Methods: The study was composed of twenty-five female patients with premenstrual dysphoric disorder and same number of healthy controls. Pd, Pmin and Pmax values were determined by electrocardiogram (ECG) in the subjects.

Results: It was found that patients with premenstrual dysphoric disorder had considerably higher Pmax and Pmin values compared to those of healthy subjects. Pd was also significantly higher in patients with premenstrual dysphoric disorders than that of healthy subjects.

Conclusion: Study suggests that patients with premenstrual dysphoric disorder seems to have increased Pd, as can be seen in anxiety and fear related clinical conditions, considering that this group of patients have an increased trend to cardiac abnormalities, particularly cardiac arrythmias. To access strong conclusion, it is required novel studies with larger samples.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001046 Cite this Article Read Full Article PDF

Keywords:

P wave dispersion; Pd: Premenstrual dysphoric disorder; ECG

References

  1. Pearlstein T, Stone BA. Premenstrual syndrome. Psychiatr Clin North Am. 1998; 21: 577-590. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9774797
  2. Herzog AG, Smithson SD, Fowler KM, Krishnamurthy KB, Sundstrom D, et al. Premenstrual dysphoric disorder in women with epilepsy: relationships to potential epileptic, antiepileptic drug, and reproductive endocrine factors. Epilepsy Behav. 2011; 21: 391-396. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21724471
  3. Emans SJ, Laufer MR, Goldstein DP. Premenstrual syndrome. Pediatric and Adolescent Gynecology, 5th ed. Philadelphia, PA: Lippincott-Raven Inc. 2005.
  4. Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction. Impact on 6-month survival. JAMA. 1993; 270: 1819-1825. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8411525
  5. Herman JP, McKlveen JM, Ghosal S, Kopp B, Wulsin A, et al. Regulation of the hypothalamic-pituitary-adrenocortical stress response. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Compr Physiol. 2016; 6: 603-621. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27065163
  6. Whirledge S, Cidlowski JA. A Role for Glucocorticoids in Stress-Impaired Reproduction: Beyond the Hypothalamus and Pituitary. Endocrinology. 2013; 154: 4450-4468. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24064362
  7. Remme WJ. The sympathetic nervous system and ischaemic heart disease. Eur Heart J. 1998; 19: F62-F71. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9651738
  8. Podr?d PJ, Kowey PR Cardiac Arrhythmia, Mechanisms, Diagnosis& Management. 2nd ed. Philadelphia, PA: Lippincott Williams&Wilkins. 2001.
  9. Dilaveris PE, Gialafos EJ, Sideris SK, Theopistou AM, Andrikopoulos GK, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J. 1998; 135: 733-738. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9588401
  10. Dilaveris PE, Gialafos JE. P-wave duration and dispersion analysis: methodological considerations. Circulation. 2001; 103: E111. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/11382743
  11. Nahshoni E, Gur S, Marom S, Levin JB, Weizman A, et al. QT dispersion in patients with social phobia. J Affect Disord. 2004; 78: 21-26. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14672793
  12. Yavuzkir M, Atmaca M, Dagli N, Balin M, Karaca I, et al. P-wave dispersion in panic disorder. Psychosom Med. 2007; 69: 344-347. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17510287
  13. Yavuzkir MF, Atmaca M, Gurok MG, Adiyaman S. P wave dispersion in obsessive-compulsive disorder. Indian J Psychiatry. 2015; 57: 196-199. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462790
  14. Atmaca M, Korkmaz H, Korkmaz S. P wave dispersion in patients with hypochondriasis. Neurosci Lett. 2010; 485: 148-150. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20813155

Figures:

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?