چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| عبدالمحمد رنجبر | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | 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. |
| کلمات کلیدی | ST‑elevation myocardial infarction, T wave inversion, Patency, Infarct related artery |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Final ICACS program (3).pdf | 1404/06/23 | 358743 | دانلود |
| 1.jpg | 1403/05/28 | 285716 | دانلود |
| bmc.pdf | 1403/05/28 | 1064223 | دانلود |
