چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| in emergency rooms. We aimed to study differences between acute coronary syndrome (ACS) and acute pulmonary embolism (APE) in patients presented primarily with abnormal negative T waves on their admission Electrocardiogram. Methods: This researchwas a retrospective study inwhich 297 patients (97 patientswith APE and 200 with ACS) were included. The patients were admitted to the emergency ward of a tertiary heart center between 2015 and 2017. In addition to the evaluation of distribution of negative T waves, the depth of the inverted precordial T waves was measured. Results: Themean age of patientswas 62.0±11.4 in ACS group and 60.7±17.6 in APE group (P value=0.563). Total negative T in V3 and V4 in ACS and APE groups was 9.1mm and 4.2mm respectively (P value b0.001). Totalmagnitude of negative T in anterior leads divided by total magnitude of negative T in inferior leads for ACS and APE groups were 15.1±12.0 and 5.4±3.6 respectively (P value=0.001). ROC curves showed that total magnitude of negative T in V4 divided by negative T in V1 can be valuable. A cutoff point of 1.75with sensitivity of 73.5% and specificity of 84.9% (95% CI 0.79–0.91 P b 0.001) could differentiate APE patients from ACS patients. Conclusion: This study suggests that total magnitude of negative T in left precordial leads divided by right precordial leads can be valuable in differentiating APE from ACS. |
| نویسنده | نفر چندم مقاله |
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| الناز جوانشیر | اول |
| صمد غفاری باویل | دوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| javanshir2018(3).pdf | 1399/08/26 | 544829 | دانلود |
