The number of leads with fragmented QRS is independently associated with cardiac death or hospitalization for heart failure in patients with prior myocardial infarction
| Autor: | Akira Tamura, Kazuhiro Shinozaki, Kumie Torigoe, Jun-ichi Kadota, Yoshiyuki Kawano, Munenori Kotoku |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Myocardial Infarction Kaplan-Meier Estimate Spironolactone Electrocardiography Sex Factors Sodium Potassium Chloride Symporter Inhibitors Internal medicine medicine Humans Myocardial infarction Cardiac death Aged Proportional Hazards Models Retrospective Studies Heart Failure Ejection fraction medicine.diagnostic_test Proportional hazards model business.industry Hazard ratio Age Factors Stroke Volume Stroke volume medicine.disease Prognosis Fragmented QRS Prior myocardial infarction Hospitalization Heart failure Cardiology Myocardial infarction complications Kidney Failure Chronic Female business Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of cardiology. 59(1) |
| ISSN: | 1876-4738 |
| Popis: | SummaryBackgroundNo information is currently available on the prognostic significance of the number of leads with fragmented QRS (fQRS). The objective of the study was to clarify the prognostic significance of the number of leads with fQRS in prior myocardial infarction (MI).Methods and resultsWe retrospectively examined 170 patients with prior MI. The primary end point was cardiac death or hospitalization for heart failure. During a mean follow-up period of 6.4±2.9 years, 37 patients developed the primary end point. Univariate Cox proportional hazards regression analyses showed that age, male gender, chronic kidney disease, anterior wall MI, number of leads with fQRS, left ventricular ejection fraction, loop diuretic use, and spironolactone use were significantly associated with the primary end point. A multivariate Cox proportional hazards regression analysis selected age (hazard ratio [HR] 1.09, 95% confidence interval [CI] 1.04–1.14, p |
| Databáze: | OpenAIRE |
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