1. Myocardial Tissue Perfusion Predicts the Evolution of Fragmented QRS in Patients with ST Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
- Author
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Özgül Malçok Gürel, Firat Ozcan, Muhammed Cebeci, Osman Turak, Sinan Aydoğdu, Fatma Nurcan Başar, Dursun Aras, Derya Tok, Serkan Topaloglu, Ahmet İşleyen, Sedat Avci, Iskender Kadife, and Uğur Canpolat
- Subjects
Male ,medicine.medical_specialty ,Fragmented qrs ,medicine.medical_treatment ,Myocardial Infarction ,Coronary Angiography ,Electrocardiography ,Percutaneous Coronary Intervention ,Predictive Value of Tests ,Risk Factors ,Internal medicine ,medicine ,Creatine Kinase, MB Form ,Humans ,ST segment ,Prospective Studies ,cardiovascular diseases ,Myocardial infarction ,Ejection fraction ,business.industry ,Smoking ,Percutaneous coronary intervention ,Original Articles ,Middle Aged ,medicine.disease ,Treatment Outcome ,Conventional PCI ,Disease Progression ,Cardiology ,Female ,business ,Cardiology and Cardiovascular Medicine ,Perfusion ,Biomarkers ,TIMI - Abstract
Background Fragmented QRS complex (fQRS) is associated with worse outcomes in several cardiovascular conditions. However, alterations in fQRS in patients with ST elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI) and association of fQRS with myocardial blush grade (MBG) has not been investigated until now. In this study, we aimed to investigate the association of MBG after primary PCI with evolution of fQRS. Methods Our study consisted of 401 consecutive patients with STEMI who underwent primary PCI. Patients were categorized into two subgroups according to persistence or new-onset of fQRS (Group 1) and absence or resolution of fQRS (Group 2) at 48 hours after primary PCI. The evolution of fQRS on pre- and post-PCI ECG and their relation with myocardial reperfusion parameters were investigated. Results Patients in group 1 showed older age, higher rate of smoking, lower HDL-cholesterol, lower LVEF, higher angina-to-door time, higher TIMI frame count, and high rate of patients with MBG
- Published
- 2013
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