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Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction    
Yazarlar (8)
Mahmut Yesin
Macit Kalçık
Hitit Üniversitesi, Türkiye
Metin Çağdaş
Kafkas Üniversitesi, Türkiye
Doç. Dr. Yavuz KARABAĞ Doç. Dr. Yavuz KARABAĞ
Kafkas Üniversitesi, Türkiye
Prof. Dr. İbrahim RENCÜZOĞULLARI Prof. Dr. İbrahim RENCÜZOĞULLARI
Kafkas Üniversitesi, Türkiye
Mustafa Ozan Gürsoy
Süleyman Çağan Efe
Süleyman Karakoyun
Kafkas Üniversitesi, Türkiye
Devamını Göster
Özet
Fragmented QRS (fQRS) has been shown to be a marker of local myocardial conduction abnormalities, cardiac fibrosis in previous studies. It was also reported to be a predictor of sudden cardiac death and increased morbidity and mortality in selected populations. However, there is no study investigating the role of fQRS in the development of atrial fibrillation in patients with ST segment elevation myocardial infarction (STEMI). In this study we aimed to investigate the relationship between the presence of fQRS after primary percutaneous coronary intervention (pPCI) and in-hospital development of new-onset atrial fibrilation (AF) in patients with STEMI. This study enrolled 171 patients undergoing pPCI for STEMI. Among these patients 24 patients developed AF and the remaining 147 patients were designated as the controls. All clinical, demographical and laboratory parameters were entered into a dataset and compared between AF group and the controls. The presence of fQRS was higher in the AF group than in the controls (P=0.001). Diabetes mellitus and fQRS was significantly more common in the AF group (P=0.003 and P=0.001 respectively) Logistic regression analysis demonstrated that the presence of fQRS was the independent determinant of AF (OR: 3.243, 95% CI 1.016-10.251, P=0.042). Increased atrial fibrillation was observed more frequently in STEMI patients with fQRS than in patients without fQRS. fQRS is an important determinant of AF in STEMI after pPCI.
Anahtar Kelimeler
Coronary artery disease | New onset atrial fibrillation | Fragmented QRS | ST-elevation myocardial infarction
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Journal of Electrocardiology
Dergi ISSN 0022-0736
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 01-2018
Cilt No 51
Sayı 1
Sayfalar 27 / 32
Doi Numarası 10.1016/j.jelectrocard.2017.08.014
Makale Linki https://linkinghub.elsevier.com/retrieve/pii/S0022073617302558