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- Title
Akut Koroner Sendrom Hastalarında CHADS-VASc Skoru ile Fragmante-QRS İlişkisi.
- Authors
SUNMAN, Hamza; ÖZKAYA İBİŞ, Ayşe Nur
- Abstract
Objective: It was aimed to investigate the relationship between the CHADS‐VASc score and the presence of fragmanted‐QRS in electro‐cardiography for risk assessment in patients with the acute coronary syndrome. Material and Method: The data of 842 patients who underwent angiography with the diagnosis of myocardial infarction between June 2016 and June 2017 were analyzed retrospectively. The patients were divided into two groups according to the presence of fragmanted‐QRS in the admission electrocardiogram. The correlation between the clinical features, laboratory values, and CHADS‐VASc scores of the patients and the presence of fragmanted‐QRS in their electrocardiograms were investigated. Results: While fragmanted‐QRS was detected in 311 (36.9%) of the patients, fragmanted‐QRS was not detected in 531 (63.1%) patients. When the whole group was evaluated with univariate analysis, the presence of fragmanted‐QRS was found to be associated with CHADS‐VASc score, creatinine, low density lipoprotein, hemoglobin level, and left ventricular ejection fraction. Multivariate logistic regression analysis was performed with these variables. A high CHADS‐VASc score (M: ≥ 2, F: ≥ 3) was found to be an independent pre‐dictor of fragmanted‐QRS development (odds ratio: 1.402, 95% confidence interval: 1.033‐1.903, p=0.030). Multivariate logistic regression analysis was performed by evaluating non‐ST elevation myocardial infarction and ST elevation myocardial infarction subgroups within themselves. Left ventricular ejection fraction (≥ %35 vs <%35) in the non‐ST elevation myocardial infarction group and high CHADS‐VASc score in the ST elevation myocardial infarction group (M: ≥ 2, F: ≥ 3) were found to be independent predictors of frag‐ manted‐QRS development (Left ventricular ejection fraction odds ratio: 0.407, 95% confidence interval: 0.187‐0.883, p=0.023, CHADS‐ VASc OR:1.544, 95% confidence interval: 1.015‐2.347, p=0.042). Conclusion: A high CHADS‐VASc score was shown to be an independent predictive factor for the development of fragmanted‐QRS in acute coronary syndrome patients.
- Subjects
ACUTE coronary syndrome; VENTRICULAR ejection fraction; LOGISTIC regression analysis; MYOCARDIAL infarction; ODDS ratio; UNIVARIATE analysis
- Publication
MN Cardiology / MN Kardiyoloji, 2022, Vol 29, Issue 1, p26
- ISSN
1300-4778
- Publication type
Article