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学科主题临床医学
Correlation between fragmented QRS and the short-term prognosis of patients with acute myocardial infarction
Sheng, Qin-hui; Hsu, Chih-Chi; Li, Jian-ping; Hong, Tao; Huo, Yong
关键词Fragmented Qrs Acute Myocardial Infarction Short-term Prognosis
刊名JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B
2014
DOI10.1631/jzus.B1300091
15期:1页:67-74
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Medicine, Research & Experimental
研究领域[WOS]Biochemistry & Molecular Biology ; Biotechnology & Applied Microbiology ; Research & Experimental Medicine
关键词[WOS]CORONARY-ARTERY-DISEASE ; BRUGADA-SYNDROME ; ANATOMIC BASIS ; 12-LEAD ECG ; MORTALITY ; PREDICTOR ; ELECTROCARDIOGRAM ; CARDIOMYOPATHY ; COMPLEX ; MARKER
英文摘要

This study is aimed to investigate the clinical significance and the short-term prognostic value of fragmented QRS (fQRS) for patients with acute myocardial infarction (AMI). Three hundred patients with AMI were tested with retrospective analysis on the patients′ clinical information, hospitalized treatment, fQRS onset time, location of lesions, and other relevant data, in order to assess the relationship between the presence of fQRS and its prognosis. The rates of malignant cardiac arrhythmia, left ventricular systolic dysfunction (LVSD), and mortality in the positive fQRS group were 13.6%, 29.2%, and 23.7%, respectively, with all showing a p value < 0.05. For the ST segment elevation myocardial infarction (STEMI) subgroup, all the rates showed significant differences with a p value < 0.01, while for the non-STEMI (NSTEMI) subgroup showed no significant differences. In patients with a positive fQRS, there were no differences in malignant cardiac arrhythmia between patients with and without percutaneous coronary intervention (PCI) (p > 0.05). As for the LVSD and mortality, the p values between patients with and without PCI were 0.031 and 0.000, respectively, suggesting statistical significance. The results imply that AMI patients with positive fQRS especially for the patients with STEMI had higher rates of malignant cardiac arrhythmia, LVSD, and mortality than the non-fQRS group. Patients of AMI with positive fQRS, who underwent early revascularization, could lower the incidence of the cardiovascular event. In addition, the presence of fQRS could be used as an indication of early intervention treatment for patients.

语种英语
WOS记录号WOS:000329606800006
引用统计
被引频次:10[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52978
专题北京大学第一临床医学院_心血管内科
作者单位Peking Univ, Hosp 1, Dept Cardiol, Beijing 100034, Peoples R China
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GB/T 7714
Sheng, Qin-hui,Hsu, Chih-Chi,Li, Jian-ping,et al. Correlation between fragmented QRS and the short-term prognosis of patients with acute myocardial infarction[J]. JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B,2014,15(1):67-74.
APA Sheng, Qin-hui,Hsu, Chih-Chi,Li, Jian-ping,Hong, Tao,&Huo, Yong.(2014).Correlation between fragmented QRS and the short-term prognosis of patients with acute myocardial infarction.JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B,15(1),67-74.
MLA Sheng, Qin-hui,et al."Correlation between fragmented QRS and the short-term prognosis of patients with acute myocardial infarction".JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B 15.1(2014):67-74.
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