The relationship between fragmented QRS and functional significance of coronary lesions
 
Yazarlar (9)
Ahmet Korkmaz Ankara Numune Education And Research Hospital, Türkiye
Prof. Dr. Abdulkadir YILDIZ Bezmiâlem Vakıf Üniversitesi, Türkiye
Doç. Dr. Mevlut Demir Ankara Numune Education And Research Hospital, Türkiye
Burcu Ozyazgan
Ankara Numune Education And Research Hospital, Türkiye
Ekrem Sahan
Atatürk Chest Disease And Thorasic Surgery Training And Research Hospital, Türkiye
Arş. Gör. Burak Acar Turkiye Yuksek Ihtisas Hospital, Türkiye
Umit Guray
Ankara Numune Education And Research Hospital, Türkiye
Dr. Öğr. Üyesi Mehmet Ileri Ankara Numune Education And Research Hospital, Türkiye
Ozgul Ucar Elalmis
Ankara Numune Education And Research Hospital, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Journal of Electrocardiology
Dergi ISSN 0022-0736 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 05-2017
Cilt / Sayı / Sayfa 50 / 3 / 282–286 DOI 10.1016/j.jelectrocard.2017.01.005
Makale Linki https://linkinghub.elsevier.com/retrieve/pii/S0022073617300080
Özet
Background Recently fragmented QRS (fQRS) on electrocardiography (ECG) has been introduced as a predictor of myocardial scarring and myocardial ischemia in coronary artery disease (CAD). Objective The aim of this study was to investigate the relationship between fQRS and fractional flow reserve (FFR) results in patients with the intermediate degree of coronary artery stenosis. Methods A total of 301 consecutive patients who underwent coronary angiography (CAG) and FFR measurement for intermediate coronary artery stenosis were included in the study. The study patients were divided into two groups: the low FFR group (FFR value of ≤0.80) and normal FFR (FFR value of >0.80) group. Both groups were compared in terms of the presence of fQRS. Results Of 301 patients, fQRS was detected in 128 (42.5%) and low FFR was detected in 115 (38.2%). In the low FFR group, fQRS was significantly higher (P < 0.001). Multivariate analysis showed that fQRS was an independent predictor of myocardial ischemia in patients with intermediate coronary stenosis (OR = 7.202, CI 95%, 4.195–12.367; p < 0.001). The presence of fQRS had 70% sensitivity and 74% specificity for the prediction of FFR ≤ 0.80. Conclusion In clinical practice, the presence of fQRS on ECG is associated with myocardial ischemia in patients with intermediate coronary stenosis.
Anahtar Kelimeler
Coronary artery stenosis | Fractional flow reserve | Fragmented QRS | Ischemia
Science Direct
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Web of Science 7
Scopus 11
The relationship between fragmented QRS and functional significance of coronary lesions

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