چکیده مقاله
Background: Several factors and risk stratification tools have been studied to determine the prognosis of acute coronary syndrome Fragmented QRS fQRS is a marker of myocardial scar and its prognostic role has recently been demonstrated The present study aimed to investigate the association between the presence of fQRS in electrocardiogram and the prognosis of ST segment elevation and non ST segment elevation myocardial infarction STEMI and NSTEMI Methods: A total of 661 patients with myocardial infarction MI were enrolled in a retrospective study Based on the presence of fQRS in admission electrocardiogram, patients were divided into two groups All patients were followed up for 6 months, and all major adverse cardiovascular events MACE were recorded Results: The mean age of patients was 61 3 ± 1 2 years, and 71 7% were male In the acute phase, the detection rates of regional wall motion abnormality and aortic valve insufficiency were higher in positive fQRS compared to negative fQRS group p = 0 003 The incidence of total MACE was significantly higher in the positive fQRS compared to the negative fQRS group among all patients and in both STEMI and NSTEMI subgroups p < 0 001 Based on multivariate analysis, the presence of fQRS and hypertension were the strongest predictors of total MACE at 6 month follow up odds ratio OR = 5 929; 95% confidence interval CI = 3 620 9 709; p < 0 001 and OR = 2 220; 95% CI = 1 390 3 547; p < 0 001, respectively Conclusion: Regardless of the type of MI, it was found that the presence of fQRS on admission electrocardiogram can be implemented in risk stratification tools in patients with acute MI
کلیدواژهها
نویسندگان
Mohammad Reza Dehghani
Department of Cardiology, Seyyed al Shohada Heart Center, Urmia University of Medical Science, Urmia, Iran
Akram Shariati
Department of Cardiology, Seyyed al Shohada Heart Center, Urmia University of Medical Science, Urmia, Iran
Azin Haghjou
Department of Cardiology, Seyyed al Shohada Heart Center, Urmia University of Medical Science, Urmia, Iran
Samin Izadi
Department of Cardiology, Seyyed al Shohada Heart Center, Urmia University of Medical Science, Urmia, Iran
Babak Sattartabar
Tehran University of Medical Sciences, Tehran, Iran
Yousef Rezae
Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
شیوه ارجاع
Dehghani, Mohammad Reza and Shariati, Akram and Haghjou, Azin and Izadi, Samin and Sattartabar, Babak and Rezae, Yousef,1401,Prognostic value of fragmented QRS complex in patients with acute myocardial infarction,Ninth International Conference on Health, Treatment and Health Promotion
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مجموعه مقالات نهمین کنفرانس بین المللی بهداشت، درمان و ارتقای سلامت31 فروردین 1401