Investigation of short-term prognosis of fragmented QRS complexes in patients with acute myocardial infarction in two groups that received invasive and fibrinolytic therapy
| Autor: | Ehsan Kazemnezhad Leili, Mani Moayerifar, Jalal Kheirkhah, Masoomeh Rezaee, Salman Nikfarjam, Fardin Mirbolouk, Seyedeh Fatemeh Mirrazeghi, Arsalan Salari, Mahboobe Gholipour |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Time Factors RD1-811 medicine.medical_treatment Fragmented qrs Myocardial Infarction 030204 cardiovascular system & hematology Ventricular Function Left Electrocardiography 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Non-ST elevated acute myocardial infarction Humans Diseases of the circulatory (Cardiovascular) system Thrombolytic Therapy In patient Prospective Studies 030212 general & internal medicine Myocardial infarction cardiovascular diseases Fragmented QRS complexes Aged medicine.diagnostic_test business.industry Percutaneous coronary intervention Stroke Volume Middle Aged medicine.disease Prognosis Heart failure RC666-701 Cardiology cardiovascular system Original Article Female Surgery Fibrinolytic therapy Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Indian Heart Journal, Vol 72, Iss 1, Pp 46-51 (2020) Indian Heart Journal |
| ISSN: | 0019-4832 |
| Popis: | Background Studies have shown that the primary causes of death in patients with acute coronary syndrome are arrhythmias and heart failure. The aim of this study is to evaluate the short-term prognosis of fragmented QRS (f-QRS) in patients with acute myocardial infarction (MI). Methods This study was a prospective and longitudinal analytic study performed on all patients with acute MI admitted to Rasht Heshmat Hospital Emergency during 2018–2019. Serial Electrocardiography (ECG) was performed in the emergency room after patient admission and was repeated 24 h after percutaneous coronary intervention and fibrinolytic therapy, as well as at the time of patient discharge. Short-term prognosis of f-QRS in patients was evaluated by a cardiologist within admission, 40 days after hospitalization and three months later again. Results In this study, 453 patients with MI were evaluated in two treatment methods of fibrinolytic and invasive with and without f-QRS. Based on the data of this study, the four study groups had no statistically significant difference in arrhythmia (p = 0.196). In addition, the effect of study groups on left ventricular ejection fraction index was not statistically significant (p = 0.597). The probability of adverse outcomes occurrence was not statistically significant among the four groups (p = 0.07). Conclusion The final results of this study showed that there was no significant difference between the four study groups and arrhythmia status. Therefore, f-QRS was not introduced as an independent predictor of arrhythmia in patients with acute MI. |
| Databáze: | OpenAIRE |
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