Fragmented QRS; as a new sign on ECG for pre-diagnosis of non-ST elevation myocardial infarction
| dc.contributor.author | Ararat, Ertan | |
| dc.contributor.author | Kozaci, Nalan | |
| dc.contributor.author | Avci, Mustafa | |
| dc.contributor.author | Koklu, Erkan | |
| dc.date.accessioned | 2022-02-22T12:24:26Z | |
| dc.date.available | 2022-02-22T12:24:26Z | |
| dc.date.issued | 2018 | |
| dc.department | İnönü Üniversitesi | en_US |
| dc.description.abstract | Aim: The aim of this study is to evaluate the predictive value of fragmented QRS (fQRS) wave to detect non-ST elevation myocardial infarction (Non-STEMI). Material and Methods: The study included patients who were diagnosed with Non-STEMI in emergency department and underwent percutaneous coronary intervention in the cardiology clinic. Coronary artery circulation is anatomically divided as the left anterior descending coronary artery (LAD) (V1-V5), the left Circumflex (LCx) (I, aVL and V5,V6) and the right coronary artery (RCA) (II, III and aVF). Results: Our study included 191 patients. Significant fQRS was detected in 139 (%73) patients and ST/T was detected in 79 (%41) patients. The sensitivity, specificity, of fQRS in the inferior leads to predict RCA lesionwas 76%, 46%, respectively. The sensitivity, specificity, of ST/T in the inferior leads to “predict RCA lesion was 12%, 93%, respectively. The sensitivity, specificity of fQRS in the lateral leads to predict LCx lesion were 44% and 83%, respectively. The sensitivity, specificity of ST/T in the lateral leads to predict LCx lesion were 34%, 74%, respectively. The sensitivity, specificity of fQRS in the anterior leads to predict left LAD lesion were 34% and 82%, respectively. The sensitivity, specificity of ST/T in the anterior leads to predict LAD lesion were 38%, and 81%, respectively. Conclusion: We have compared to fQRS and ST/T on ECG; fQRS has higher sensitivity than ST/T to predict culprit coronary artery lesion. Therefore, evaluation of fQRS in addition to ST/T on ECG may be more valuable in pre-diagnosis of Non-STEMI. | en_US |
| dc.identifier.citation | Ararat, E., Kozaci, N., Avci, M., & Koklu, E. (2021). Fragmented QRS; as a new sign on ECG for pre-diagnosis of non-ST elevation myocardial infarction . Annals of Medical Research | en_US |
| dc.identifier.uri | https://hdl.handle.net/11616/53829 | |
| dc.language.iso | en | en_US |
| dc.relation.ispartof | Annals of Medical Research | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.title | Fragmented QRS; as a new sign on ECG for pre-diagnosis of non-ST elevation myocardial infarction | en_US |
| dc.type | Article | en_US |
