PMID- 30177321 OWN - NLM STAT- MEDLINE DCOM- 20191003 LR - 20191007 IS - 1532-8430 (Electronic) IS - 0022-0736 (Linking) VI - 51 IP - 5 DP - 2018 Sep-Oct TI - The relationship between fragmented QRS complexes and syntax II scores in patients with ST-segment elevation myocardial infarction. PG - 825-829 LID - S0022-0736(18)30203-6 [pii] LID - 10.1016/j.jelectrocard.2018.06.008 [doi] AB - BACKGROUND: Even though the relationship between syntax score (SS) and fragmented QRS (fQRS) has been studied, the relation between syntax score II (SS II) and fQRS in patients with ST elevation myocardial infarction (STEMI) is undefined. We aimed to define the relationship between fQRS and SS II for the evaluation of extension and complexity of coronary artery disease. MATERIAL AND METHODS: This study enrolled 167 patients undergoing primary percutaneous coronary intervention (pPCI) for STEMI. The standard 12-lead electrocardiograms (ECGs) were obtained from all patients before and after PCI. SS and SS II were calculated in all patients. Transthoracic echocardiography was performed to all patients. RESULTS: Thirty-nine patients (23.4%) had fQRS on their ECGs. The median SS II was 27 (22.9-33.9). SS II values in the fQRS(+) group were statistically significantly higher than that of the fQRS(-) group (35.2 (26.4-47.2) vs. 25.7 (22.1-30.7), p < 0.001). Also, in patients with higher SS II, there was significantly higher number of ECG derivations with fQRS. CONCLUSIONS: The presence of fQRS and high number of derivations with fQRS on ECG may be associated with high SS II in patients undergoing pPCI for STEMI. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Yesin, Mahmut AU - Yesin M AD - Department of Cardiology, Kars Harakani State Hospital, Kars, Turkey. Electronic address: mahmutyesin@yahoo.com. FAU - Cagdas, Metin AU - Cagdas M AD - Department of Cardiology, Kars Kafkas University, Faculty of Medicine, Kars, Turkey. FAU - Kalcik, Macit AU - Kalcik M AD - Department of Cardiology, Hitit University, Faculty of Medicine, Corum, Turkey. FAU - Rencuzogullari, Ibrahim AU - Rencuzogullari I AD - Department of Cardiology, Kars Kafkas University, Faculty of Medicine, Kars, Turkey. FAU - Karabag, Yavuz AU - Karabag Y AD - Department of Cardiology, Kars Kafkas University, Faculty of Medicine, Kars, Turkey. FAU - Gursoy, Mustafa Ozan AU - Gursoy MO AD - Department of Cardiology, Gaziemir State Hospital, Izmir, Turkey. FAU - Karakoyun, Suleyman AU - Karakoyun S AD - Department of Cardiology, Kars Kafkas University, Faculty of Medicine, Kars, Turkey. LA - eng PT - Journal Article DEP - 20180713 PL - United States TA - J Electrocardiol JT - Journal of electrocardiology JID - 0153605 SB - IM MH - Coronary Angiography MH - Coronary Artery Disease/*diagnosis/physiopathology MH - *Electrocardiography MH - Female MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - ST Elevation Myocardial Infarction/*physiopathology OTO - NOTNLM OT - Coronary artery disease OT - Fragmented QRS OT - ST-elevation myocardial infarction OT - Syntax score II EDAT- 2018/09/05 06:00 MHDA- 2019/10/08 06:00 CRDT- 2018/09/05 06:00 PHST- 2018/03/29 00:00 [received] PHST- 2018/05/31 00:00 [revised] PHST- 2018/06/12 00:00 [accepted] PHST- 2018/09/05 06:00 [entrez] PHST- 2018/09/05 06:00 [pubmed] PHST- 2019/10/08 06:00 [medline] AID - S0022-0736(18)30203-6 [pii] AID - 10.1016/j.jelectrocard.2018.06.008 [doi] PST - ppublish SO - J Electrocardiol. 2018 Sep-Oct;51(5):825-829. doi: 10.1016/j.jelectrocard.2018.06.008. Epub 2018 Jul 13.