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Fragmented QRS Complex as a Predictor of High Risk in Acute Coronary Syndrome
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Hanan Ibrahim Radwan Abdelbar
Staff Zu Site
Abstract In Staff Site
Journal:
Cardiology and Cardiovascular Research Science PG
Volume:
Keywords :
Fragmented , Complex , , Predictor , High Risk , Acute
Abstract:
Abstract Background: To detect the potential in hospital prognostic value of fQRS complex in patients with acute coronary syndrome (ACS) & investigate whether FQRS complex can be used to distinguish patients with early NSTEMI from those with unstable angina. Methods: It included 150 patients with acute NSTEMI and unstable angina. All patients were subjected to Grace score calculation, ECG to detect ischemic changes and detect presence or absent of fQRS, transthoracic echo to detect LV ejection fraction and recording in-hospital outcome. Results: Patients with fQRS have significant higher Killip class>2, higher troponin &CKMB levels, higher grace score, increased LVEDD & LVESD and significantly lower LVEF%. LVEF is significantly lower among patients with fQRS than patients with not fQRS in NSTEMI patients while there is no significant difference of LVEF % between both groups in unstable angina patients. There is significant association between fQRS and higher prevalence of NSTEMI and higher incidence of heart failure, arrhythmia and bad outcome. By multivariate analysis, NSTEMI (p =0.003) and high HR (p =0.004) and fragmented QRS (p =0.00) were the only significant predictors for bad outcome. FQRS have the ability to diagnose NSTEMI in 47.9% of cases, fQRs can truly exclude NSTEMI in 72.7% of case. Conclusion: Among patients with ACS, the presence of fQRS was associated with an increase incidence of complication, worse outcome, larger LV dimensions, and lower LVEF. The presence of fQRS in acute coronary syndrome patients could predict the presence of NSTEMI with fair diagnostic value. Keywords ACS (NSTEMI, Unstable Angina), Fragmented QRS Complex, Hospital Outcome
Author Related Publications
Hanan Ibrahim Radwan Abdelbar, "Carotid artery intimal-medial thickness and left ventricular longitudinal systolic strain in patients with coronary artery disease", MedCrave, 2017
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Hanan Ibrahim Radwan Abdelbar, "Metabolic Syndrome Versus Its Individual Components And Angiographic Severity Of Coronary Artery Disease", International Journal of Advanced Research.(2016) : 4(10), 806-812. Article DOI: 10.21474/IJAR01/1861, 2016
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Hanan Ibrahim Radwan Abdelbar, "Value of global longitudinal strain by two dimensional speckle tracking echocardiography in predicting coronary artery disease severity", The Egyptian Heart Journal .2016, 2016
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Hanan Ibrahim Radwan Abdelbar, "Operative Results of Coronary Artery Bypass Surgery In Elderly Patients: Local Experience", Journal of The Egyptian Society of Cardio-Thoracic Surgery, 2011
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Hanan Ibrahim Radwan Abdelbar, "Value of N-terminal pro brain natriuretic peptide in predicting prognosis and severity of coronary artery disease in acute coronary syndrome", in Saudi Heart Assoc, 2014
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Department Related Publications
Ahmed Shafea Mahmoud Morsy, "قيمه سمك الطانه والطبقة الوسطي للشريان السباتي والفخذي كعامل غير نافذ للتنبؤ بمرض الشريان التاجي", مجلة القلب المصرية, 2001
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Ahmed Shafea Mahmoud Morsy, "تاثير توسيع الصمام الميترالي بالقسطره البالونية علي الارتجاع الوظيفي للصمام ثلاثي الشرفات وارتفاع ضغط الشريان الرئوي", مجلة جامعة الزقازيق الطبية, 2000
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Tarek Abdelmoniem Abdelaziz, "Human C-reactive protein gene polymorphism andmetabolic syndrome are associated with premature coronary artery disease", Elsevier, 2013
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Tarek Abdelmoniem Abdelaziz, "Synergistic Effect Between Lipoprotein Lipase and Apolipoprotein C3 Genes in Determining the Severity of Coronary Artery Disease", Springer, 2013
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Eslam Alsayed Mohamed Mohamed Shehata, "Mitral annulus time intervals for assessment of left ventricular systolic function in ischemic cardiomyopathy", European Journal of Heart Failure Supplements (2012) 11, S128–S177, 2012
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