Predictive value of admission electrocardiogram for multivessel disease in acute anterior and anterior-inferior myocardial infarction

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dc.contributor.authorKürüm, T
dc.contributor.authorÖztekin, E
dc.contributor.authorÖzçelik, F
dc.contributor.authorEker, H
dc.contributor.authorTüre, M
dc.contributor.authorÖzbay, G
dc.date.accessioned2024-06-12T10:50:31Z
dc.date.available2024-06-12T10:50:31Z
dc.date.issued2002
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Our aim was to investigate the correlation between admission ECG and coronary angiography findings in terms of predicting the culprit vessel responsible for the infarct or multivessel disease in acute anterior or anterior-inferior myocardial infarction (AMI). Methods: We investigated 101 patients with a diagnosis of anterior AMI with or without ST-segment elevation or ST-segment depression in at least two leads in DII, III, aVF. The patients were classified as those with vessel involvement in the left anterior descending (LAD) coronary artery and patients with multivessel disease. Vessel involvement in LAD + circumflex artery (Cx) or LAD + right coronary artery (RCA) or LAD + Cx + RCA were considered as multivessel disease. Thus, (a) anterior AMI patients with reciprocal changes in inferior leads, (b) anterior AMI patients with inferior elevations, (c) all anterior AMI patients according to the ST-segment changes in the inferior region were analyzed according to the presence of LAD or multivesssel involvement. Results: Presence of ST-segment depression in aVL and V6 was significantly correlated with the presence of multivessel disease in anterior AMI patients with reciprocal changes in the inferior leads (P = 0.005 and P = 0.003, respectively). No statistically significant difference between the leads were detected in terms of ST-segment elevation in predicting vessel involvement in the two groups of anterior AMI patients with inferior elevations, When all the patients with anterior AMI were analyzed, the presence of ST-segment depression in leads aVL, V4, V5 and V6 were significantly associated with the presence of multivessel disease (P = 0.035, P = 0.010, P = 0.011, P = 0.001, respectively). Conclusions: The presence of ST-segmert depression in anterolateral leads in the admission ECG of anterior AMI patients with reciprocal changes in inferior leads was associated with multivessel disease.en_US
dc.identifier.doi10.1111/j.1542-474X.2002.tb00187.x
dc.identifier.endpage373en_US
dc.identifier.issn1082-720X
dc.identifier.issue4en_US
dc.identifier.pmid12431316en_US
dc.identifier.scopus2-s2.0-0036812232en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage369en_US
dc.identifier.urihttps://doi.org/10.1111/j.1542-474X.2002.tb00187.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18033
dc.identifier.volume7en_US
dc.identifier.wosWOS:000179295500013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherFutura Publ Coen_US
dc.relation.ispartofAnnals Of Noninvasive Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute Anterior Myocardial Infarctionen_US
dc.subjectAcute Inferior Myocardial Infarctionen_US
dc.subjectElectrocardiographyen_US
dc.subjectReciprocal Changesen_US
dc.subjectInfarct-Related Arteryen_US
dc.subjectSt-Segment Depressionen_US
dc.subjectElevationen_US
dc.subjectDifferentiationen_US
dc.subjectOcclusionen_US
dc.subjectArteryen_US
dc.subjectMarkeren_US
dc.subjectAvlen_US
dc.titlePredictive value of admission electrocardiogram for multivessel disease in acute anterior and anterior-inferior myocardial infarctionen_US
dc.typeArticleen_US

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