Document Detail

Clinical Impact of Q-Wave Presence on Electrocardiogram at Presentation of Patients with ST-segment Elevation Myocardial Infarction Undergoing Primary Coronary Intervention.
MedLine Citation:
PMID:  25098175     Owner:  NLM     Status:  Publisher    
This study evaluated the clinical impact of Q-wave presence on ECG at presentation of patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI).From April 2005 to September 2009, 184 consecutive STEMI patients who underwent primary PCI within 12 hours of chest pain onset were retrospectively evaluated. Patients were grouped according to the presence (Q positive, n = 109) or absence (Q negative, n = 75) of Q waves on initial ECG at emergency room presentation. Major adverse cardiac events (MACE) and stent thrombosis (ST) were evaluated for 2 years. Risk factors for MACE and left ventricular (LV) remodeling by echocardiography were also evaluated.Baseline characteristics, including reperfusion time and infarct location, were similar between the groups. The MACE rate at 2 years was higher in the Q-positive group (32.1%) than in the Q-negative group (13.3%, P = 0.005). Independent risk factors for MACE were the presence of Q-wave (P = 0.008, Odds ratio 3.139) and no-reflow phenomenon (P = 0.016, Odds ratio, 2.819). LV remodeling was more frequent in the Q-positive group (47.9%) than in the Q-negative (24.5%, P = 0.009) group. Initial Q-wave presence (P = 0.048, Odds ratio 2.380) and anterior wall MI (P = 0.009, Odds ratio, 3.425) were independent risk factors for LV remodeling.The presence of Q waves in ECG of patients presenting with STEMI undergoing primary PCI provides an independent prognostic marker of clinical outcomes and left ventricular remodeling.
Ung Kim; Jang-Won Son; Jong-Seon Park; Young-Jo Kim
Related Documents :
23612365 - Monocyte heterogeneity in myocardial infarction with and without st elevation and its a...
3365875 - An electrocardiographic criterion to detect av dissociation in wide qrs tachyarrhythmias.
16020585 - Determinants of persistent negative t waves and early versus late t wave normalisation ...
15026835 - Time course of ecg depolarization and repolarization changes during ischemia in ptca re...
9332935 - Mitral valve anomalies obstructing left ventricular outflow.
6386155 - Enzymatically and electrocardiographically estimated infarct size in relation to pain i...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-05
Journal Detail:
Title:  International heart journal     Volume:  -     ISSN:  1349-3299     ISO Abbreviation:  Int Heart J     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-8-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101244240     Medline TA:  Int Heart J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Review of pharmacokinetic and pharmacodynamic modeling and safety of proton pump inhibitors and aspi...
Next Document:  Prediction of New Onset Atrial Fibrillation Through P Wave Analysis in 12 Lead ECG.