PMID- 23263710
OWN - NLM
STAT- MEDLINE
DCOM- 20140715
LR  - 20211021
IS  - 1615-2573 (Electronic)
IS  - 0910-8327 (Print)
IS  - 0910-8327 (Linking)
VI  - 28
IP  - 6
DP  - 2013 Nov
TI  - Re-elevation of T-wave from day 2 to day 4 after successful percutaneous coronary 
      intervention predicts chronic cardiac systolic dysfunction in patients with first 
      anterior acute myocardial infarction.
PG  - 704-13
LID - 10.1007/s00380-012-0313-y [doi]
AB  - This study evaluates the clinical significance of re-elevation of T-wave in 
      patients with ST segment elevation acute myocardial infarction (STEMI) undergoing 
      successful percutaneous coronary intervention (PCI). Resolution of ST elevation 
      within 24 h after reperfusion is associated with better outcome. However, little 
      is known about the serial electrocardiography (ECG) changes and their 
      significance. Seventy-five patients (52 men; 66 +/- 1 years) with the first 
      anterior STEMI in whom 12-lead ECG was recorded every day from day 0 to day 8 
      after PCI were studied. JT interval was quartered (points 1-5), and the 
      deviations from isoelectric line at each point were analyzed in leads V2, V3, and 
      V4. Serial ECG showed ST resolution and T-wave inversion within 2 days after PCI 
      in all patients at the middle of JT interval (point 3), and subsequent 
      re-elevation of T-wave on day 4 in 73 patients (97.3 %). The patients were 
      divided into two groups: Group A (n = 37) with less JT deviation changes (<0.25 
      mV) from day 2 to day 4 at point 3; and Group B (n = 38) with greater JT 
      deviation changes (>/=0.25 mV). Group B had less retrograde collateral flow and 
      longer JT interval in the acute phase, and lower left ventricular ejection 
      fraction (LVEF), worse regional contractility, and higher plasma brain 
      natriuretic peptide levels at 6 months after the onset than Group A (all P < 
      0.05). The JT deviation change was negatively correlated with and an independent 
      predictor for LVEF in the chronic phase. Re-elevation >/=0.25 mV of T-wave at the 
      middle of JT interval after successful PCI predicts chronic cardiac systolic 
      dysfunction in patients with first anterior STEMI.
FAU - Nishizaki, Fumie
AU  - Nishizaki F
AD  - Department of Cardiology, Hirosaki University Graduate School of Medicine, 5 
      Zaifu-cho, Hirosaki, 036-8562, Japan.
FAU - Tomita, Hirofumi
AU  - Tomita H
FAU - Yokoyama, Hiroaki
AU  - Yokoyama H
FAU - Higuma, Takumi
AU  - Higuma T
FAU - Abe, Naoki
AU  - Abe N
FAU - Suzuki, Akiko
AU  - Suzuki A
FAU - Endo, Tomohide
AU  - Endo T
FAU - Tateyama, Shunta
AU  - Tateyama S
FAU - Ishida, Yuji
AU  - Ishida Y
FAU - Osanai, Tomohiro
AU  - Osanai T
FAU - Okumura, Ken
AU  - Okumura K
LA  - eng
PT  - Journal Article
DEP - 20121222
PL  - Japan
TA  - Heart Vessels
JT  - Heart and vessels
JID - 8511258
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anterior Wall Myocardial 
      Infarction/complications/diagnosis/physiopathology/*therapy
MH  - *Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Percutaneous Coronary Intervention
MH  - Predictive Value of Tests
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Stroke Volume
MH  - *Systole
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/diagnosis/*etiology/physiopathology
MH  - *Ventricular Function, Left
PMC - PMC3830194
EDAT- 2012/12/25 06:00
MHDA- 2014/07/16 06:00
PMCR- 2012/12/22
CRDT- 2012/12/25 06:00
PHST- 2012/09/05 00:00 [received]
PHST- 2012/11/30 00:00 [accepted]
PHST- 2012/12/25 06:00 [entrez]
PHST- 2012/12/25 06:00 [pubmed]
PHST- 2014/07/16 06:00 [medline]
PHST- 2012/12/22 00:00 [pmc-release]
AID - 313 [pii]
AID - 10.1007/s00380-012-0313-y [doi]
PST - ppublish
SO  - Heart Vessels. 2013 Nov;28(6):704-13. doi: 10.1007/s00380-012-0313-y. Epub 2012 
      Dec 22.