Association of Fragmented QRS Complex with Myocardial Reperfusion in Acute ST-Elevated Myocardial Infarction

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dc.contributor.authorErdem, Fatma Hızal
dc.contributor.authorTavil, Yusuf
dc.contributor.authorYazıcı, Hüseyin
dc.contributor.authorAygül, Nazif
dc.contributor.authorAbacı, Adnan
dc.contributor.authorBoyacı, Bülent
dc.date.accessioned2020-03-26T18:41:10Z
dc.date.available2020-03-26T18:41:10Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIn this study, we aimed to evaluate the relationship between TIMI myocardial perfusion (TMP) grade, as an indicator of myocardial reperfusion, and fragmented QRS (fQRS) in standard 12-lead electrocardiogram. Also, we evaluate fQRS is an additional indicator of myocardial reperfusion. One hundred patients admitted with first STEMI to Coronary Intensive Care Unit and who were used thrombolytic therapy was included in this retrospective study. Standard 12-lead electrocardiogram records of patients simultaneous with coronary angiography (second day) were assessed and analysed for the presence of fQRS. Also, coronary angiography images were analyzed to identify the infarct related artery, TIMI grade of infarct related artery and TMP grade of infarct related artery. The patients with fQRS demonstrated a significantly lower TMP grade, TIMI grade and ejection fraction compared with the non-fQRS patients (P = 0.004, P = 0.003, P = 0.02 respectively). The patients with inadequate myocardial reperfusion demonstrated a significantly higher fQRS compared with the adequate myocardial reperfusion patients. (56.9% versus 23.5%, P = 0.002 respectively). On correlation analysis, there was a significant negative correlation between fQRS and left ventricular ejection fraction (r = -232, P = 0.02) TMP grade and adequate myocardial reperfusion (TMP 3) showed significant negative correlation with fQRS (r = -0.370, P = 0.000; r = -0.318, P = 0.001 respectively). Presence of fragmented QRS in STEMI patients was associated with inadequate myocardial reperfusion and it can be used as a simple, noninvasive parameter to evaluate myocardial reperfusion. Ann Noninvasive Electrocardiol 2013;18(1):69-74en_US
dc.identifier.doi10.1111/anec.12011en_US
dc.identifier.endpage74en_US
dc.identifier.issn1082-720Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid23347028en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage69en_US
dc.identifier.urihttps://dx.doi.org/10.1111/anec.12011
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29250
dc.identifier.volume18en_US
dc.identifier.wosWOS:000314151100008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEY-BLACKWELLen_US
dc.relation.ispartofANNALS OF NONINVASIVE ELECTROCARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectST-segment elevation myocardial infarctionen_US
dc.subjectfragmented QRSen_US
dc.subjectreperfusionen_US
dc.titleAssociation of Fragmented QRS Complex with Myocardial Reperfusion in Acute ST-Elevated Myocardial Infarctionen_US
dc.typeArticleen_US

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