{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:36:59Z","timestamp":1764139019745,"version":"3.46.0"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Iron deficiency anemia (IDA) is a common global health issue affecting over two billion people and is associated with cardiovascular complications. Electrocardiographic (ECG) abnormalities may reflect cardiac involvement in IDA. The Morphology\u2010Voltage\u2010P wave Duration (MVP) score, which assesses P\u2010wave duration, voltage, and morphology, is linked to atrial fibrillation (AF) risk. This study aimed to investigate the relationship between IDA and MVP score to evaluate its potential in cardiac risk assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective study was conducted between January 1 and June 30, 2024, at a tertiary hospital. It included 241 IDA patients and 204 healthy controls. All participants underwent ECG and echocardiography. MVP scores were calculated, and left atrial (LA) diameter and left ventricular ejection fraction (LVEF) were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      MVP scores were significantly higher in the IDA group compared to controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). P\u2010wave morphology and voltage were notably altered in IDA patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). LA diameters were larger, and LVEF values were lower in the IDA group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). MVP scores positively correlated with LA size and negatively with LVEF. Additionally, IDA patients had higher heart rates and lower diastolic blood pressure (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>IDA is associated with increased MVP scores, suggesting possible atrial remodeling and higher AF risk. The MVP score may serve as a non\u2010invasive tool for cardiovascular risk stratification in IDA patients. Further research is needed to assess the impact of IDA treatment on ECG parameters and arrhythmia risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anec.70116","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T11:29:08Z","timestamp":1760441348000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Iron Deficiency Anemia on the Morphology\u2013Voltage\u2013P Wave Duration (\n                    <scp>MVP<\/scp>\n                    ) Risk Score"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2097-2531","authenticated-orcid":false,"given":"G\u00f6knur","family":"Yildiz","sequence":"first","affiliation":[{"name":"TC Saglik Bakanligi Eskisehir Sehir Hastanesi  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6731-4958","authenticated-orcid":false,"given":"\u00d6zge Turgay","family":"Yildirim","sequence":"additional","affiliation":[{"name":"TC Saglik Bakanligi Eskisehir Sehir Hastanesi  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8701-6675","authenticated-orcid":false,"given":"\u015eeyhmus","family":"Kaya","sequence":"additional","affiliation":[{"name":"TC Saglik Bakanligi Eskisehir Sehir Hastanesi  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2502-1030","authenticated-orcid":false,"given":"Fatih Alper","family":"Ayyildiz","sequence":"additional","affiliation":[{"name":"TC Saglik Bakanligi Eskisehir Sehir Hastanesi  Eski\u015fehir 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