Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction

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dc.contributor.authorYesin, Mahmut
dc.contributor.authorKalçık, Macit
dc.contributor.authorÇağdaş, Metin
dc.contributor.authorKarabağ, Yavuz
dc.contributor.authorRencüzoğulları, İbrahim
dc.contributor.authorGürsoy, Mustafa Ozan
dc.contributor.authorEfe, Süleyman Çağan
dc.contributor.authorKarakoyun, Süleyman
dc.date.accessioned2019-05-10T09:38:57Z
dc.date.available2019-05-10T09:38:57Z
dc.date.issued2018
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground Fragmented QRS (fQRS) has been shown to be a marker of local myocardial conduction abnormalities, cardiac fibrosis in previous studies. It was also reported to be a predictor of sudden cardiac death and increased morbidity and mortality in selected populations. However, there is no study investigating the role of fQRS in the development of atrial fibrillation in patients with ST segment elevation myocardial infarction (STEMI). In this study we aimed to investigate the relationship between the presence of fQRS after primary percutaneous coronary intervention (pPCI) and in-hospital development of new-onset atrial fibrilation (AF) in patients with STEMI. Material and methods This study enrolled 171 patients undergoing pPCI for STEMI. Among these patients 24 patients developed AF and the remaining 147 patients were designated as the controls. All clinical, demographical and laboratory parameters were entered into a dataset and compared between AF group and the controls. Results The presence of fQRS was higher in the AF group than in the controls (P = 0.001). Diabetes mellitus and fQRS was significantly more common in the AF group (P = 0.003 and P = 0.001 respectively) Logistic regression analysis demonstrated that the presence of fQRS was the independent determinant of AF (OR: 3.243, 95% CI 1.016–10.251, P = 0.042). Conclusions Increased atrial fibrillation was observed more frequently in STEMI patients with fQRS than in patients without fQRS. fQRS is an important determinant of AF in STEMI after pPCI. © 2017 Elsevier Inc.
dc.identifier.citationYesin, M., Kalçık, M., Çağdaş, M., Karabağ, Y., Rencüzoğulları, İ., Gürsoy, M. O., ... & Karakoyun, S. (2018). Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction. Journal of electrocardiology, 51(1), 27-32.
dc.identifier.doi10.1016/j.jelectrocard.2017.08.014
dc.identifier.endpage32en_US
dc.identifier.issn0022-0736
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage27en_US
dc.identifier.urihttps://doi.org/10.1016/j.jelectrocard.2017.08.014
dc.identifier.urihttps://hdl.handle.net/11491/558
dc.identifier.volume51en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherChurchill Livingstone Inc.
dc.relation.ispartofJournal of Electrocardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCoronary Artery Diseaseen_US
dc.subjectFragmented QRSen_US
dc.subjectNew Onset Atrial Fibrillationen_US
dc.subjectST-Elevation Myocardial Infarctionen_US
dc.titleFragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction
dc.typeArticle

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