Evidence map›Paper›PMID 29167610›Full record

ArticleActa Cardiologica Sinica2017

The Difference on Features of Fragmented QRS Complex and Influences on Mortality in Patients with Acute Coronary Syndrome.

Di Liang, Jingyi Zhang, Li Lin, Wenxia Zong

Abstract read
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Article in Acta Cardiologica Sinica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  8. Article
  9. Fragmented QRS - Its significance.Indian pacing and electrophysiology journal
    Review
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Di LiangDepartment of Cardiology, The Third People's Hospital of Hubei Province, Wuhan, Hubei 430033, China.
Jingyi ZhangDepartment of Cardiology, The Third People's Hospital of Hubei Province, Wuhan, Hubei 430033, China.
Li LinDepartment of Cardiology, The Third People's Hospital of Hubei Province, Wuhan, Hubei 430033, China.
Wenxia ZongDepartment of Cardiology, The Third People's Hospital of Hubei Province, Wuhan, Hubei 430033, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether the fragmented QRS (fQRS) complexes can be used to distinguish patients with early non-ST elevation myocardial infarction (NSTEMI) from those with unstable angina (UA).

backgroundfQRS complex has been found to be linked to myocardial infarction and cardiac death.

methodsThe clinical data of 302 patients who had been diagnosed with coronary artery disease were retrospectively reviewed. Incidence of fQRS complex within 48 h of presentation was analyzed and patients with acute myocardial infarction (AMI) (n = 240) were followed up by telephone interviews for a mean of 61.47 (range, 59.60-63.35) months.

resultsPatients with NSTEMI exhibited higher incidence of fQRS than those with UA (p = 0.047). The incidence of fQRS in the inferior wall leads was significantly higher than that of other leads in patients with anterior wall infarction (p < 0.05). Kaplan-Meier analysis revealed a higher mortality rate in AMI patients with fQRS compared to non-fQRS patients (p = 0.001).

conclusionsPresence of fQRS complexes within 48 hours of presentation may be used to differentiate NSTEMI patients from UA patients. fQRS may also be used as a survival predictor for patients with AMI.

Indexed as

Acute coronary syndromeElectrocardiographyFragmented QRSNon-ST elevation myocardial infarctionUnstable angina

Identifiers

PMID29167610
PMCPMC5694921

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