Prediction of infarct-related coronary artery of patients with acute inferior myocardial infarction by a predischarge exercise test index

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dc.authoridDagdeviren, Bahadir/0000-0001-6945-0745
dc.authoridbolca, osman/0000-0003-0156-3991
dc.authoridEren, Mehmet/0000-0002-5570-705X
dc.authorwosidDagdeviren, Bahadir/J-5016-2012
dc.authorwosidbolca, osman/JYP-8138-2024
dc.authorwosidEren, Mehmet/ACD-8031-2022
dc.contributor.authorBolca, O
dc.contributor.authorEren, M
dc.contributor.authorAkdemir, O
dc.contributor.authorYildirim, A
dc.contributor.authorDagdeviren, B
dc.contributor.authorTezel, T
dc.date.accessioned2024-06-12T11:19:49Z
dc.date.available2024-06-12T11:19:49Z
dc.date.issued2004
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe predictive accuracy of electrocardiographic markers in identifying the infarct-related artery of myocardial infarctions has been a subject of extensive investigation. The present study was designed to test whether the index L II/L III ratio adapted to exercise electrocardiograms could be utilized as a marker to distinguish right coronary and left circumflex arteries as culprit coronaries in acute inferior myocardial infarctions. For this purpose, 82 patients with a positive-symptom-limited and/or submaximal treadmill exercise test with modified Bruce protocol after an acute inferior myocardial infarction were studied. Those patients with ST segment elevation during the stress test were included in the study. ST segment index was defined as the ratio of exercise-induced ST elevation amplitude in L II/L III. Patients were classified as having an index > 1 (n = 24) and < 1 (n = 58), and the findings were compared with the findings on coronary angiography. The groups were comparable with respect to age, gender, peak exercise level, and double products achieved. Circumflex artery was the infarct-related one in the majority (21/24; 88%) of patients with an index > 1, whereas most (51/58; 88%) patients with an index < 1 had the culprit lesion in their right coronary artery (p < 0.001). The ratio of exercise-induced ST elevations in leads L II and L III has a significantly high ability to discriminate the infarct-related coronary artery in patients with uncomplicated inferior myocardial infarction. Considering the prognostic importance of the type of coronary involvement, this index could be a part of predischarge evaluation in this patient group.en_US
dc.identifier.endpage683en_US
dc.identifier.issn0003-3197
dc.identifier.issue6en_US
dc.identifier.pmid15547654en_US
dc.identifier.scopus2-s2.0-9244220171en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage679en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25357
dc.identifier.volume55en_US
dc.identifier.wosWOS:000225443500009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWestminster Publ Incen_US
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRight-Ventricular Involvementen_US
dc.subjectPractice Guidelines Committeeen_US
dc.subjectAssociation Task-Forceen_US
dc.subjectLeft Circumflex Arteryen_US
dc.subjectElectrocardiographic Criteriaen_US
dc.subjectAmerican-Collegeen_US
dc.subjectCulprit Arteryen_US
dc.subjectHigh-Risken_US
dc.subjectOcclusionen_US
dc.subjectTherapyen_US
dc.titlePrediction of infarct-related coronary artery of patients with acute inferior myocardial infarction by a predischarge exercise test indexen_US
dc.typeArticleen_US

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