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Fragmented QRS on admission electrocardiography predicts long-term mortality in patients with non-ST-segment elevation myocardial infarction

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Erişim

info:eu-repo/semantics/closedAccess

Tarih

2016

Yazar

Bozbeyoğlu, Emrah
Yıldırımtürk, Özlem
Yazıcı, Selçuk
Ceylan, Ufuk Sadık
Erdem, Aysun
Kaya, Adnan
Dönmez, Cevdet
Akyüz, Şükrü
Çetin, Mustafa

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Künye

Bozbeyoğlu, E., Yıldırımtürk, Ö., Yazıcı, S., Ceylan, U. S., Erdem, A., Kaya, A., Dönmez, C., Akyüz, Ş., & Çetin, M. (2016). Fragmented QRS on Admission Electrocardiography Predicts Long-Term Mortality in Patients with Non-ST-Segment Elevation Myocardial Infarction. Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 21(4), 352–357. https://doi.org/10.1111/anec.12314

Özet

Background: Early diagnosis and identification of high-risk non-ST elevation myocardial infarction (NSTEMI) is an important issue. Fragmented QRS (fQRS) complexes are defined as various RSR' patterns on 12-lead resting electrocardiography (ECG). Previous studies revealed that fQRS is related with increased ventricular arrhythmias and cardiovascular mortality. the relation between fQRS and mortality in acute coronary syndromes, mitral valve disease severity and structural heart disease has been shown in different studies. the aim of this study was to investigate relation between fQRS and long-term cardiovascular mortality in NSTEMI patients. Methods: Patients who admitted to our emergency unit and diagnosed NSTEMI between 2012 and 2013, 433 patients were included prospectively. fQRS complexes determined in 85 patients. Patients were divided into two groups according to fQRS existence. All patients evaluated for their clinical, laboratory, electrocardiographic, and echocardiographic characteristics. Angiographic features of 315 patients who underwent coronary angiography was also recorded. In-hospital, 30-day and 12-month mortality was compared between these groups. Results: Demographic characteristics and cardiovascular risk factors were similar in both groups except hyperlipidemia. GRACE risk score was higher in patients with fQRS and positively correlated with existence of fQRS. in hospital and 30-days mortality were similar but late mortality was higher in fQRS group. Predictors of late mortality were found to be age, heart rate, male sex in addition to fQRS. CONCLUSION: We found a relation between fQRS and late mortality. Fragmented QRS may be seen as a cautionary signal for extensive myocardial damage and thereby increased long-term mortality for patients with NSTEMI.

Kaynak

Annals of Noninvasive Electrocardiology

Cilt

21

Sayı

4

Bağlantı

https://doi.org/10.1111/anec.12314
https://hdl.handle.net/11436/2454

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  • PubMed İndeksli Yayınlar Koleksiyonu [2443]
  • Scopus İndeksli Yayınlar Koleksiyonu [6011]
  • TF, Dahili Tıp Bilimleri Bölümü Koleksiyonu [1572]
  • WoS İndeksli Yayınlar Koleksiyonu [5260]



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