ArticleAnatolian journal of cardiology2024
The Association of Electrical Risk Score with Prognosis in Patients with Non-ST Elevation Myocardial Infarction Undergoing Coronary Angiography.
Article in Anatolian journal of cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Electrical risk score and electrocardiographic markers in acute cholecystitis: a prospective cross-sectional study using explainable machine learning.BMC cardiovascular disorders · 2026Article
- The Frontal QRS-T Angle Remains Unchanged in Patients Without Structural Heart Disease Receiving Flecainide Therapy.Journal of cardiovascular development and disease · 2026Article
- Electrical Risk Score as a Predictor of Coronary Artery Disease.Journal of clinical medicine · 2025Article
- Prognostic significance of the Tpe/Qtc ratio in predicting major adverse cardiac events in acute STEMI patients.Scientific reports · 2025Article
- Cardiac Clues in Major Depressive Disorder: Evaluating Electrical Risk Score as a Predictive Electrocardiography Biomarker.Medicina (Kaunas, Lithuania) · 2025Article
- Reply to Letter to the Editor: Determining ECG Parameters for Electrical Risk Score in Patients with Non-ST Elevation Myocardial Infarction.Anatolian journal of cardiology · 2025Article
- Determining ECG Parameters for Electrical Risk Score in Patients with Non-ST Elevation Myocardial Infarction.Anatolian journal of cardiology · 2025Article
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8 authors.
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Abstract
backgroundAcute coronary syndromes are the leading cause of mortality worldwide. Electrical risk score (ERS) is a novel electrocardiographic risk scoring system. The prognostic importance of ERS in non-ST elevation myocardial infarction (NSTEMI) patients is unknown. We aimed to determine the association of ERS with in-hospital prognosis in NSTEMI patients undergoing coronary angiography (CAG).
methodsA total of 427 consecutive NSTEMI patients undergoing CAG were enrolled in this study. Six parameters comprised ERS: pulse rate >75, left ventricular hypertrophy according to Sokolow-Lyon criteria, QRS transition zone ≥V4, corrected QT (QTc) interval >450 for men and >460 for women, T peak to T end interval (Tp-e) >89 ms, and frontal QRS-T angle >90°. The ERS was calculated according to the number of abnormal findings in electrocardiogram. The study population was divided into 2 groups as ERS <3 and ≥3.
resultsNo significant difference was found between ERS ≥3 and <3 groups in terms of demographic characteristics. However, patients with ERS ≥3 had significantly higher maximum troponin (P < .001), thrombolysis in myocardial infarction (P = .002), and global registry of acute coronary events (P < .001) risk scores and 3-vessel disease frequency (P = .001), whereas they had lower left ventricular ejection fraction (P < .001). These patients also had higher frequency of in-hospital mortality (P < .001) and adverse events. Multiple logistic regression analysis demonstrated that ERS (OR = 1.790, 95% CI: 1.036-3.095, P = .037) was an independent predictor of in-hospital mortality.
conclusionThe frequency of in-hospital adverse events and mortality was significantly higher in NSTEMI patients with an ERS ≥3 at admission. This simple electrocardiographic risk marker may help identify patients at higher cardiac risk in patients presenting with NSTEMI and identify patients who may need early coronary intervention.
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