PMID- 25041063
OWN - NLM
STAT- MEDLINE
DCOM- 20160104
LR  - 20220311
IS  - 1542-474X (Electronic)
IS  - 1082-720X (Print)
IS  - 1082-720X (Linking)
VI  - 20
IP  - 2
DP  - 2015 Mar
TI  - The assessment of relationship between fragmented QRS complex and left 
      ventricular wall motion score index in patients with ST elevation myocardial 
      infarction who underwent primary percutaneous coronary intervention.
PG  - 148-57
LID - 10.1111/anec.12180 [doi]
AB  - OBJECTIVES: Fragmented QRS (fQRS) has been found to be associated with high 
      mortality and arrhythmic events in acute coronary syndromes. Regional systolic 
      function using wall motion score index (WMSI) is an alternative to left 
      ventricular ejection fraction (LVEF) for the assessment of left ventricular 
      systolic function. The aim of this study was to investigate the relation between 
      the presence of fQRS on admission electrocardiogram (ECG) and WMSI in ST 
      elevation myocardial infarction (STEMI) underwent primary coronary intervention 
      (PCI). The in-hospital and long-term prognostic significance of persistent fQRS 
      was also evaluated. METHODS: In this retrospective study, 542 patients with a 
      diagnose of STEMI underwent primary PCI were included. Study patients were 
      divided into two groups according to the presence (n = 153) or absence (n = 389) 
      of a fQRS on admission ECG. RESULTS: WMSI was found to be significantly higher in 
      fQRS(+) group compared to the fQRS(-) group (P < 0.001). In multivariete 
      analysis, WMSI was found to be an independent predictor of fQRS, and fQRS was 
      inversely associated with LVEF. The in-hospital reinfarction (P = 0.003), MACE 
      (P = 0.024), intraaortic balloon pump use (P = 0.014), and advanced heart failure 
      (P < 0.001) were found to be significantly more frequent in the fQRS(+) group. 
      The presence of fQRS on admission was found to be associated with an increase in 
      long-term cardiovascular mortality (P = 0.028), and long-term all-cause mortality 
      (P = 0.022). CONCLUSION: WMSI was significantly related with the presence of the 
      fQRS, which reflects the linking between impairment of regional left ventricular 
      systolic function and the presence of severe myocardial injury in STEMI.
CI  - (c) 2014 Wiley Periodicals, Inc.
FAU - Uslu, Nevzat
AU  - Uslu N
AD  - Cardiology Department, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery 
      Training and Research Hospital, Istanbul, Turkey.
FAU - Gul, Mehmet
AU  - Gul M
FAU - Cakmak, Huseyin Altug
AU  - Cakmak HA
FAU - Atam, Ali
AU  - Atam A
FAU - Pusuroglu, Hamdi
AU  - Pusuroglu H
FAU - Satilmisoglu, Hulusi
AU  - Satilmisoglu H
FAU - Akkaya, Emre
AU  - Akkaya E
FAU - Aksu, Hale Unal
AU  - Aksu HU
FAU - Kalkan, Ali Kemal
AU  - Kalkan AK
FAU - Surgit, Ozgur
AU  - Surgit O
FAU - Erturk, Mehmet
AU  - Erturk M
FAU - Aksu, Huseyin
AU  - Aksu H
FAU - Eksik, Abdurrahman
AU  - Eksik A
LA  - eng
PT  - Journal Article
DEP - 20140717
PL  - United States
TA  - Ann Noninvasive Electrocardiol
JT  - Annals of noninvasive electrocardiology : the official journal of the 
      International Society for Holter and Noninvasive Electrocardiology, Inc
JID - 9607443
SB  - IM
CIN - Ann Noninvasive Electrocardiol. 2015 Mar;20(2):198-9. PMID: 25384341
MH  - Electrocardiography/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*physiopathology/*therapy
MH  - Percutaneous Coronary Intervention/*methods
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Ventricular Function, Left/*physiology
PMC - PMC6931736
OTO - NOTNLM
OT  - fragmented QRS
OT  - left ventricular systolic function
OT  - mortality
EDAT- 2014/07/22 06:00
MHDA- 2016/01/05 06:00
PMCR- 2014/07/17
CRDT- 2014/07/22 06:00
PHST- 2014/07/22 06:00 [entrez]
PHST- 2014/07/22 06:00 [pubmed]
PHST- 2016/01/05 06:00 [medline]
PHST- 2014/07/17 00:00 [pmc-release]
AID - ANEC12180 [pii]
AID - 10.1111/anec.12180 [doi]
PST - ppublish
SO  - Ann Noninvasive Electrocardiol. 2015 Mar;20(2):148-57. doi: 10.1111/anec.12180. 
      Epub 2014 Jul 17.