PMID- 22263025 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20120823 LR - 20211021 IS - 2077-6624 (Electronic) IS - 2072-1439 (Print) IS - 2072-1439 (Linking) VI - 2 IP - 2 DP - 2010 Jun TI - QT dispersion as a predictor for arrhythmias in patients with acute ST elevation myocardial infarction. PG - 86-8 AB - AIMS AND OBJECTIVES: To study the effect of Heart Rate Variability (HRV) and QT dispersion (QTd) in patients presenting with Acute ST elevation myocardial infarction (STEMI). METHODS: This is a retrospective study conducted on patients admitted with the diagnosis of acute ST elevation myocardial infarction. In all 100 patients with acute myocardial infarction in one year were subjected to a complete evaluation in terms of history and examination. Besides routine investigations standard 12 lead ECG was evaluated in all cases on admission, after 4 hrs, 24 hrs, 48 hrs and on discharge. RESULTS: The most common presenting symptoms were chest pain (88%) and dyspnea (50%). Tachycardia was seen in 56% while congestive heart failure was present in 29% patients. Patients who died had a higher QTd in comparison to patients who survived. CONCLUSIONS: Markers of autonomic regulation of heart like QTd provides valuable information about the future course of events in a patient following acute STEMI which can be utilized to plan the future course of management in patients especially predisposed to adverse and catastrophic outcomes. FAU - Aziz, Fahad AU - Aziz F AD - Jersey City Medical Center, Mount Sinai School of Medicine, Jersey City, New jersey 07002, USA. FAU - Doddi, Sujatha AU - Doddi S FAU - Alok, Anshu AU - Alok A FAU - Penupolu, Sudheer AU - Penupolu S FAU - Singh, Vijayant AU - Singh V FAU - Benz, Michael AU - Benz M FAU - Abed, Mary AU - Abed M LA - eng PT - Journal Article PL - China TA - J Thorac Dis JT - Journal of thoracic disease JID - 101533916 PMC - PMC3256448 OTO - NOTNLM OT - QT dispersion OT - acute ST elevation myocardial infarction EDAT- 2010/06/01 00:00 MHDA- 2010/06/01 00:01 PMCR- 2010/06/01 CRDT- 2012/01/21 06:00 PHST- 2010/05/10 00:00 [received] PHST- 2010/05/25 00:00 [accepted] PHST- 2012/01/21 06:00 [entrez] PHST- 2010/06/01 00:00 [pubmed] PHST- 2010/06/01 00:01 [medline] PHST- 2010/06/01 00:00 [pmc-release] AID - jtd-02-02-086 [pii] PST - ppublish SO - J Thorac Dis. 2010 Jun;2(2):86-8.