PMID- 29339700 OWN - NLM STAT- MEDLINE DCOM- 20190509 LR - 20190509 IS - 2149-2271 (Electronic) IS - 2149-2263 (Print) IS - 2149-2263 (Linking) VI - 19 IP - 1 DP - 2018 Jan TI - Assessment of the relationship between reperfusion success and T-peak to T-end interval in patients with ST elevation myocardial infarction treated with percutaneous coronary intervention. PG - 50-57 LID - 10.14744/AnatolJCardiol.2017.7949 [doi] AB - OBJECTIVE: T-peak-T-end (TPE) interval, which represents the dispersion of repolarization, is defined as the interval between the peak and end of the T-wave, and is associated with increased malignant ventricular arrhythmia and sudden cardiac death (SCD) in patients with ST elevation myocardial infarction (STEMI). Although prolonged TPE interval is associated with poor short- and long-term outcomes, even in patients with STEMI treated with successful primary percutaneous coronary intervention (pPCI), clinical, angiographic, and laboratory parameters that affect TPE remain to be elucidated. The aim of our study was to evaluate the potential relationship between prolonged TPE interval and reperfusion success using ST segment resolution (STR) in patients with STEMI undergoing pPCI. METHODS: In the current study, 218 consecutive patients with STEMI who underwent pPCI were enrolled; after exclusion, 164 patients were included in the study population. RESULTS: Patients were divided into two groups according to the presence of complete (STR%>/=70) or incomplete (STR%<70) STR. Preprocedural corrected TPE (cTPEPRE;116+/-21 ms vs. 108+/-21 ms; p=0.027), postprocedural TPE (TPEPOST; 107+/-16 ms vs. 92+/-21 ms; p<0.001), and postprocedural cTPE (cTPEPOST; 119+/-19 ms vs. 102+/-17 ms; p<0.001) intervals were significantly longer in patients with incomplete STR than in patients with complete STR, whereas there was no statistically significant difference between the two groups in terms of pre- and postprocedural and corrected QT intervals. cTPEPRE and cTPEPOST were found to be independent predictors for incomplete STR. CONCLUSION: To our knowledge, this is the first study that evaluated the relationship between TPE interval and no-reflow defined by STR in patients with STEMI who were treated with pPCI. FAU - Cagdas, Metin AU - Cagdas M AD - Department of Cardiology, Faculty of Medicine, Kafkas University; Kars-Turkey. metin-cagdas@hotmail.com. FAU - Karakoyun, Suleyman AU - Karakoyun S FAU - Rencuzogullari, Ibrahim AU - Rencuzogullari I FAU - Karabag, Yavuz AU - Karabag Y FAU - Yesin, Mahmut AU - Yesin M FAU - Velibey, Yalcin AU - Velibey Y FAU - Artac, Inanc AU - Artac I FAU - Ilis, Dogan AU - Ilis D FAU - Efe, Suleyman Cagan AU - Efe SC FAU - Tasar, Onur AU - Tasar O FAU - Tanboga, Halil Ibrahim AU - Tanboga HI LA - eng PT - Journal Article PL - Turkey TA - Anatol J Cardiol JT - Anatolian journal of cardiology JID - 101652981 SB - IM MH - Aged MH - Electrocardiography MH - Female MH - Heart Conduction System MH - Humans MH - Male MH - Middle Aged MH - No-Reflow Phenomenon/etiology MH - Percutaneous Coronary Intervention MH - Postoperative Complications/etiology MH - ROC Curve MH - ST Elevation Myocardial Infarction/physiopathology/*surgery MH - Sensitivity and Specificity MH - Treatment Outcome PMC - PMC5864790 COIS- Conflict of interest: None declared. EDAT- 2018/01/18 06:00 MHDA- 2019/05/10 06:00 PMCR- 2018/01/01 CRDT- 2018/01/18 06:00 PHST- 2018/01/18 06:00 [entrez] PHST- 2018/01/18 06:00 [pubmed] PHST- 2019/05/10 06:00 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - AJC-19-50 [pii] AID - 10.14744/AnatolJCardiol.2017.7949 [doi] PST - ppublish SO - Anatol J Cardiol. 2018 Jan;19(1):50-57. doi: 10.14744/AnatolJCardiol.2017.7949.