Evidence map›Paper›PMID 40821482›Full record

ArticleProceedings (Baylor University. Medical Center)2025

Fragmented QRS complex as a predictor of no-reflow in myocardial infarction: a systematic review and meta-analysis.

Tanawat Attachaipanich, Suthinee Attachaipanich, Thanaphat Thanyaratsarun, Pojsakorn Danpanichkul, Kotchakorn Kaewboot

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Prediction of coronary no-reflow from the surface electrocardiogram.Proceedings (Baylor University. Medical Center) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tanawat AttachaipanichDepartment of Internal Medicine, University of Missouri - Kansas City School of Medicine, Kansas City, Missouri, USA.
Suthinee AttachaipanichGraduate School of Science, Osaka University, Osaka, Japan.
Thanaphat ThanyaratsarunDepartment of Internal Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pojsakorn DanpanichkulDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Kotchakorn KaewbootDivision of Rheumatology, Department of Internal Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0004-1492-4551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronary no-reflow is associated with adverse outcomes in patients with myocardial infarction (MI). This study aimed to evaluate the association between the presence of fragmented QRS (fQRS) and no-reflow in MI patients. Methods: A systematic search was conducted across four databases from inception to July 20, 2024. The inclusion criteria were studies that enrolled MI patients, stratified by the presence of fQRS, and reported at least one of the following outcomes: no-reflow, infarct size, reinfarction, or repeat revascularization during hospitalization. No-reflow was defined as a Thrombolysis In Myocardial Infarction (TIMI) flow grade < 3. Results: A total of 19 studies with 5840 participants were analyzed using a random-effects model. The presence of fQRS was associated with a higher risk of no-reflow compared to non-fQRS in MI patients, with an odds ratio (OR) of 2.08 (95% CI 1.39 to 3.12), Conclusions: The presence of fQRS was associated with a higher risk of no-reflow in MI patients. fQRS could serve as a useful tool for predicting no-reflow and guiding primary prevention strategies in MI patients.

Indexed as

Coronary no-reflowfragmented QRS complexmyocardial infarction

Identifiers

PMID40821482
PMCPMC12351709

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.