چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Background: Up to over half of the patients with ST‑segment elevation myocardial infarction (STEMI) are reported to undergo spontaneous reperfusion without therapeutic interventions. Our objective was to evaluate the applica‑ bility of T wave inversion in electrocardiography (ECG) of patients with STEMI as an indicator of early spontaneous reperfusion. Methods: In this prospective study, patients with STEMI admitted to a tertiary referral hospital were studied over a 3‑year period. ECG was obtained at the time of admission and patients underwent a PPCI. The association between early T wave inversion and patency of the infarct‑related artery was investigated in both anterior and non‑anterior STEMI. Results: Overall, 1025 patients were included in the study. Anterior STEMI was seen in 592 patients (57.7%) and non‑ anterior STEMI in 433 patients (42.2%). Among those with anterior STEMI, 62 patients (10.4%) had inverted T and 530 (89.6%) had positive T waves. In patients with anterior STEMI and inverted T waves, a significantly higher TIMI flow was detected (p value = 0.001); however, this relationship was not seen in non‑anterior STEMI. Conclusion: In on‑admission ECG of patients with anterior STEMI, concomitant inverted T wave in leads with ST elevation could be a proper marker of spontaneous reperfusion of infarct related artery. Keywords: ST‑elevation myocardial infarction, T wave inversion, Patency, Infarct related artery |
| نویسنده | نفر چندم مقاله |
|---|---|
| بابک کاظمی اربط | پنجم |
| عبدالمحمد رنجبر | اول |
| بهرام سهرابی ممقانی | دوم |
| سیدرضا سادات ابراهیمی | سوم |
| صمد غفاری باویل | چهارم |
| ناصر اصلان آبادی | ششم |
| بابک سیوانی | هفتم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| The association between T wave inversion in leads with ST-elevation and patency of the infarct-related artery.pdf | 1400/05/10 | 1064223 | دانلود |
