| Yazarlar |
Ahmet Korkmaz
|
Prof. Dr. Abdulkadir YILDIZ
Türkiye |
|
Mevlut Demir
|
|
Ozyazgan Burcu
|
|
Ekrem Sahan
|
|
Burak Acar
|
|
Umit Guray
|
|
Mehmet Ileri
|
|
Ozgul Ucar Elalmis
|
| 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 |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | JOURNAL OF ELECTROCARDIOLOGY |
| Dergi ISSN | 0022-0736 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | İngilizce |
| Basım Tarihi | 05-2017 |
| Cilt No | 50 |
| Sayı | 3 |
| Sayfalar | 282 / 286 |
| Doi Numarası | 10.1016/j.jelectrocard.2017.01.005 |
| Makale Linki | https://linkinghub.elsevier.com/retrieve/pii/S0022073617300080 |
| Atıf Sayıları | |
| WoS | 7 |
| SCOPUS | 11 |
