Terminal T-wave concordance is associated with SYNTAX score among left bundle branch block patients suspected of acute coronary syndrome without modified Sgarbossa criteria

被引:0
|
作者
Shojaeefard, Ehsan [1 ]
Dehghani, Pooyan [2 ]
Akbari-Khezrabadi, Ali [3 ]
Naseri, Arzhang [3 ]
Salimi, Maryam [3 ]
Hosseinpour, Morteza [3 ]
Sarejloo, Shirin [4 ]
Mehrian, Seyed Reza Abdipour [1 ]
Karimi, Mohammadreza [3 ]
Drissi, Hamed Bazrafshan [4 ,5 ]
机构
[1] Shiraz Univ Med Sci, Sch Med, Shiraz, Iran
[2] Shiraz Neurosci Res Ctr, Shiraz, Iran
[3] Shiraz Univ Med Sci, Sch Med, Shiraz, Iran
[4] Shiraz Univ Med Sci, Cardiovasc Res Ctr, Shiraz 713441864, Iran
[5] Shiraz Univ Med Sci, Cardiovasc Res Ctr, Cardiol, Shiraz, Iran
关键词
Electrocardiography; Acute coronary syndrome; Bundle branch block; SYNTAX score; OF-CARDIOLOGY FOUNDATION; MYOCARDIAL-INFARCTION; AHA/ACCF/HRS RECOMMENDATIONS; ARRHYTHMIAS COMMITTEE; SCIENTIFIC STATEMENT; CLINICAL CARDIOLOGY; ELECTROCARDIOGRAM; STANDARDIZATION; DIAGNOSIS; THERAPY;
D O I
10.1016/j.jelectrocard.2022.10.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Timely and precise diagnosis of ischemic cardiac events based on electrocardiogram is challengeable among patients with Left Bundle Branch Block (LBBB). The present study aimed to assess the correlation between SYNTAX score and terminal T-wave morphologies among LBBB patients suspected of Acute Coronary Syndrome (ACS) without modified Sgarbossa criteria.Method: This cross-sectional study was conducted on the LBBB patients suspected of ACS without modified Sgarbossa criteria. Binary logistic regression was used to assess the correlation of ischemic heart disease (IHD, SYNTAX score > 0) and SYNTAX score categories with terminal T-wave morphologies including T-wave direction in lead V6 and terminal T-wave concordance in leads I, V5, and V6.Result: This study was done on 93 patients with the mean age of 62.4 +/- 9.6 years. More than half of the patients were female (58.1%, 95% CI: 47.4% to 68.2%). Among the participants with IHD, the SYNTAX score categories were correlated to discordant terminal T-wave in leads I, V5, and V6 (OR = 5.71, 95% CI: 1.04 to 31.28, p = 0.04).Conclusion: Among the LBBB patients with acute ischemic cardiac events without modified Sgarbossa criteria, those with discordant terminal T-waves in leads I, V5, or V6 had higher SYNTAX scores and might require more invasive coronary revascularization techniques such as Coronary Artery Bypass Graft (CABG) surgery.(c) 2022 Elsevier Inc. All rights reserved.
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收藏
页码:178 / 182
页数:5
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