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Journals / Türk Kardiyoloji Derneği Arşivi / 2012 / Cilt: 40 - Sayı: 3

Primer perkütan koroner girişime giden hastalarda miyokart enfarktüsü ve reperfüzyon parametrelerinin öngörülmesinde fragmante olmuş QRS komplekslerin önemi

The importance of fragmented QRS complexes in prediction of myocardial infarction and reperfusion parameters in patients undergoing primary percutaneous coronary intervention

Turan ERDOĞAN
Ömer ŞATIROĞLU
Emre DURAKOĞLUGİL
Mustafa ÇETİN
Yüksel ÇİÇEK
İsmail ŞAHİN
Tuncay KIRIŞ
Aytun ÇANGA
Mehmet BOSTAN
Sinan Altan KOCAMAN
Asiye ŞAHİNARSLAN
Pages
213–222
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Results: Patients with fQRS on admission ECG had higher eukocyte counts (p=0.001), higher CK-MB (p=0.001) and troponin levels (p=0.005), increased pain to balloon time (p=0.004), higher Killip score (p

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Objective & Hypothesis:Objectives: The QRS complex fragmentations (fQRS) fre- quently seen on admission electrocardiograms (ECGs) with narrow or wide QRS complex are associated with increased morbidity and mortality.
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Key Findings & Data:Study design: The study included 184 consecutive patients with ST elevation myocardial infarction (STEMI) who under- went p-PCI.
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Conclusion & Impact:Results: Patients with fQRS on admission ECG had higher eukocyte counts (p=0.001), higher CK-MB (p=0.001) and troponin levels (p=0.005), increased pain to balloon time (p=0.004), higher Killip score (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The QRS complex fragmentations (fQRS) fre- quently seen on admission electrocardiograms (ECGs) with narrow or wide QRS complex are associated with increased morbidity and mortality. The causative relationship between fQRS and cardiac fibrosis is known, but the relation of frag- mented QRS before and after primary percutaneous coro- nary intervention (p-PCI) with myocardial infarction and re- perfusion parameters has not been studied until now. Study design: The study included 184 consecutive patients with ST elevation myocardial infarction (STEMI) who under- went p-PCI. Presence or absence of fQRS on pre- and post- PCI ECGs and its change following PCI were investigated. In addition, independent predictors of fQRS were also in- vestigated. Patients with significant organic valve disease and patients having any QRS morphology with QRS dura- tion ≥120 ms as well as patients with permanent pacemak- ers were excluded from the study. Results: Patients with fQRS on admission ECG had higher eukocyte counts (p=0.001), higher CK-MB (p=0.001) and troponin levels (p=0.005), increased pain to balloon time (p=0.004), higher Killip score (p

Özet

Amaç: Başvuru elektrokardiyogramlarında (EKG) sıklıkla görülen, dar ya da geniş QRS yapısı olan QRS kompleks fragmantasyonları (fQRS) artmış morbidite ve mortalite ile ilişkilidir. FQRS ve kardiyak fibroz arasındaki sebepsel ilişki bilinmektedir, fakat primer perkütan koroner girişim (p-PKG) öncesi ve sonrası fQRSnin miyokart enfarktüsü ve reperfüzyon parametreleri ile ilişkisi şimdiye kadar incelenmedi. Çalışma planı: Çalışmaya p-PKGye giden 184 ardışık ST yükselmeli miyokart enfarktüslü (STEMI) hasta alındı. p-PKG öncesi ve sonrası EKGlerde fQRS varlığı ya da yokluğu ve p-PKG ile fQRS değişimi araştırıldı. Ek olarak, fQRSin bağımsız öngörücüleri ayrıca araştırıldı. Anlamlı organik kapak hastalığı olan, 120 ms ve üzerinde QRS süresi olan ve de kalıcı kalp pili olan hastalar çalışmadan dışlandı. Bulgular: Başvuru EKGsinde fQRSi olan hastalar olmayan hastalar ile karşılaştırıldığında daha yüksek lökosit sayılarına (p=0.001), daha yüksek CK-MB (p=0.001) ve troponin (p=0.005) düzeylerine, uzamış ağrı balon sürelerine (p=0.004), daha yüksek Killip skorlarına (p

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Cite This Article

ERDOĞAN, T., ŞATIROĞLU, Ö., DURAKOĞLUGİL, E., ÇETİN, M., ÇİÇEK, Y., ŞAHİN, İ., KIRIŞ, T., ÇANGA, A., BOSTAN, M., KOCAMAN, S. A., ŞAHİNARSLAN, A. (2022). Primer perkütan koroner girişime giden hastalarda miyokart enfarktüsü ve reperfüzyon parametrelerinin öngörülmesinde fragmante olmuş QRS komplekslerin önemi. Türk Kardiyoloji Derneği Arşivi, Cilt: 40 - Sayı: 3, 213–222. https://ajindex.com/articles/632993

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