The predictive value of RS time for short term mortality in patients with acute pulmonary embolism
  
Yazarlar (8)
Ayça Gümüşdağ Sağlık Bilimleri Üniversitesi, Türkiye
Cengiz Burak Sağlık Bilimleri Üniversitesi, Türkiye
Muhammed Süleymanoğlu Sağlık Bilimleri Üniversitesi, Türkiye
Mahmut Yesin Diğer (Kurumlar, Hastaneler Vb.), Türkiye
Prof. Dr. Yavuz KARABAĞ Kafkas Üniversitesi, Türkiye
Metin Çağdaş Kafkas Üniversitesi, Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI Kafkas Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Journal of Electrocardiology (Q4)
Dergi ISSN 0022-0736 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 09-2020
Cilt / Sayı / Sayfa 62 / 0 / 94–99 DOI 10.1016/j.jelectrocard.2020.07.013
Makale Linki https://linkinghub.elsevier.com/retrieve/pii/S0022073620305045
Özet
Many studies have examined the capability of electrocardiography (ECG) changes to predict the severity and prognosis of patients with acute pulmonary embolism (APE). RS time in ECG is potentially valuable in evaluating the prognosis of APE. In our study, we aimed to assess the predictive value of RS time, which is a novel electrocardiographic parameter of one-month mortality of APE. This retrospective study included 216 patients who were diagnosed with APE by pulmonary computed tomography angiography. RS time was measured from the ECG (inferolateral leads) at the time of hospital admission using a computer program (imagej.nih.gov/ij/). The patients were divided into two groups according to the median values of RS time: the group with RS time ≤ 60 msec (n:108) and the group with RS time > 60 msec (n:108). The groups were compared in terms of mortality. In our study, the one-month mortality was 15.3% (33) in the patients hospitalized with APE. In the multivariate analysis, RS time prolongation (HR: 1.037; 95%CI: 1.005-1.065; p = .02) was independently correlated with mortality. The ROC curve analysis revealed that RS time > 64.8 msec predicted the one-month mortality in APE with a sensitivity of 68.6% and a specificity of 73.9% (AUC: 0.708; 95% CI: 0.643-0.768; p < .001). As a novel ECG parameter, RS time could be measured for each patient with APE. Prolongation of RS time could be a useful index for predicting the one-month mortality of patients diagnosed with APE.
Anahtar Kelimeler
Acute pulmonary embolism | RS time | Mortality | Electrocardiography