Annals of noninvasive electrocardiology: the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc | |
Significance and Usefulness of Narrow Fragmented QRS Complex on 12-Lead Electrocardiogram in Acute ST-Segment Elevation Myocardial Infarction for Prediction of Early Mortality and Morbidity | |
article | |
Berna Stavileci1  Murat Cimci1  Baris Ikitimur1  Hasan Ali Barman1  Sevgi Ozcan1  Esra Ataoglu2  Rasim Enar1  | |
[1] Cerrahpasa School of Medicine, Department of Cardiology, Istanbul University;Department of Internal Medicine, Haseki Education and Research Hospital | |
关键词: fragmented QRS; ST elevation; myocardial infarction; mortality; | |
DOI : 10.1111/anec.12133 | |
来源: Wiley | |
【 摘 要 】
Background The presence of notched R or S waves without accompanying typical bundle branch blocks, or the existence of an additional wave like RSR’ pattern in the original QRS complex (with a duration of 120 points (OR = 4.765), age >70 years (OR = 4.041), anterior MI localization (OR = 3.148), and presence of fQRS (OR = 2.484) were significant predictors of primary end points. fQRS increased the predictive ability of GRACE score >120 about two folds (OR = 7.305, P < 0.001). Conclusion Persistent fQRS on ECG is associated with poor prognosis and there is a lack of expected mortality benefit of RPT, particularly that of fibrinolytic therapy, in STEMI patients with fQRS.
【 授权许可】
Unknown
【 预 览 】
Files | Size | Format | View |
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RO202107100004493ZK.pdf | 98KB | download |