{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T17:44:15Z","timestamp":1751823855920},"reference-count":0,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2003,8,12]],"date-time":"2003-08-12T00:00:00Z","timestamp":1060646400000},"content-version":"vor","delay-in-days":254,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:p> <jats:bold>Global P Wave Duration on the 65\u2010Lead ECG.<\/jats:bold>\n          <jats:italic>Introduction:<\/jats:italic> Pacing is believed to prevent atrial fibrillation by reducing atrial activation time. Exact correlation between P wave duration (PWD) on surface ECG and endocardial atrial activation time is still unexplored.<\/jats:p><jats:p> <jats:italic>Methods and Results:<\/jats:italic> In 15 patients without structural heart disease (<jats:styled-content>9 women, age 45 \u00b1 14 years<\/jats:styled-content>), single site [high right atrium (HRA), coronary sinus ostium (CSos), distal CS (CSd), high RA septum (Bachmann's bundle, BB)] and dual\u2010site pacing (various combinations) was performed after ablation of supraventricular tachycardia. A 65\u2010lead surface ECG was recorded simultaneously. Endocardial atrial activation time was measured off\u2010line (stimulus \u2013 last bipolar recording), and the respective PWD was assessed using the root mean square and 65\u2010channel summary plots. PWD during pacing from BB was significantly shorter (<jats:styled-content>96 \u00b1 12 msec<\/jats:styled-content>) than during HRA (<jats:styled-content>121 \u00b1 15 msec<\/jats:styled-content>), CSos (<jats:styled-content>108 \u00b1 9 msec<\/jats:styled-content>), and CSd pacing (<jats:styled-content>126 \u00b1 14 msec; P &lt; 0,01, respectively<\/jats:styled-content>). PWD during dual\u2010site pacing (<jats:styled-content>HRA + BB, 91 \u00b1 14 msec; HRA + CSos, 96 \u00b1 7 msec; HRA + CSd, 90 \u00b1 7 msec; BB + CSd, 96 \u00b1 12 msec<\/jats:styled-content>) was not significantly shorter than during pacing from BB. Correlation between endocardial atrial activation time and PWD was 0.83.<\/jats:p><jats:p> <jats:italic>Conclusion:<\/jats:italic> PWD during single\u2010site and dual\u2010site atrial pacing represents endocardial atrial activation time and can be measured precisely using the 65\u2010lead surface ECG. The fact that high septal pacing results in the shortest PWD may have implications for preventive pacing in patients with atrial fibrillation.<\/jats:p>","DOI":"10.1046\/j.1540-8167.2002.01240.x","type":"journal-article","created":{"date-parts":[[2003,8,12]],"date-time":"2003-08-12T15:18:43Z","timestamp":1060701523000},"page":"1240-1245","source":"Crossref","is-referenced-by-count":18,"title":["Global P Wave Duration on the 65\u2010Lead ECG: Single\u2010Site and Dual\u2010Site Pacing in the Structurally Normal Human Atrium"],"prefix":"10.1111","volume":"13","author":[{"given":"STEFAN","family":"GOZOLITS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GERALD","family":"FISCHER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"THOMAS","family":"BERGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FRITZ","family":"HANSER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIA","family":"ABOU\u2010HARB","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BERNHARD","family":"TILG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OTMAR","family":"PACHINGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FLORIAN","family":"HINTRINGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FRANZ X.","family":"ROITHINGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,8,12]]},"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1540-8167.2002.01240.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1046\/j.1540-8167.2002.01240.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T11:35:15Z","timestamp":1700307315000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1046\/j.1540-8167.2002.01240.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,12]]},"references-count":0,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2002,12]]}},"alternative-id":["10.1046\/j.1540-8167.2002.01240.x"],"URL":"https:\/\/doi.org\/10.1046\/j.1540-8167.2002.01240.x","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,12]]}}}