T-Wave Analysis on the 24 h Holter ECG Monitoring as a Predictive Assessment of Major Adverse Cardiovascular Events in Patients with Myocardial Infarction: A Literature Review and Future Perspectives.

Autor: Duca ȘT; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Roca M; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiovascular Rehabilitation, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Costache AD; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiovascular Rehabilitation, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Chetran A; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Afrăsânie I; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Miftode RȘ; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Tudorancea I; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania.; Department of Morpho-Functional Science II-Physiology, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania., Matei I; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Ciorap RG; Department of Biomedical Science, Faculty of Medical Bioengineering, University of Medicine and Pharmacy 'Grigore T. Popa', 700145 Iasi, Romania., Mitu O; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Bădescu MC; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of III Internal Medicine Clinic, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Iliescu-Halitchi D; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, Arcadia Hospital, 700620 Iasi, Romania., Halițchi-Iliescu CO; Department of Mother and Child Medicine-Pediatrics, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Pedriatics, Arcadia Hospital, 700620 Iasi, Romania., Mitu F; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiovascular Rehabilitation, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Lionte C; Department of Internal Medicine III, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700145 Iasi, Romania.; Department of Cardiology, Helicomed Hospital, 700115 Iasi, Romania., Costache II; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', 700115 Iasi, Romania.; Department of Cardiology, 'St. Spiridon' Emergency County Hospital, 700111 Iasi, Romania.
Jazyk: angličtina
Zdroj: Life (Basel, Switzerland) [Life (Basel)] 2023 May 10; Vol. 13 (5). Date of Electronic Publication: 2023 May 10.
DOI: 10.3390/life13051155
Abstrakt: Myocardial ischemia is a pathophysiological state characterized by inadequate perfusion of the myocardium, resulting in an imbalance between myocardial oxygen demand and supply. It is most commonly caused by coronary artery disease, in which atherosclerotic plaques lead to luminal narrowing and reduced blood flow to the heart. Myocardial ischemia can manifest as angina pectoris or silent myocardial ischemia and can progress to myocardial infarction or heart failure if left untreated. Diagnosis of myocardial ischemia typically involves a combination of clinical evaluation, electrocardiography and imaging studies. Electrocardiographic parameters, as assessed by 24 h Holter ECG monitoring, can predict the occurrence of major adverse cardiovascular events in patients with myocardial ischemia, independent of other risk factors. The T-waves in patients with myocardial ischemia have prognostic value for predicting major adverse cardiovascular events, and their electrophysiological heterogeneity can be visualized using various techniques. Combining the electrocardiographic findings with the assessment of myocardial substrate may offer a better picture of the factors that can contribute to cardiovascular death.
Databáze: MEDLINE
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