aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction
Abstract Background Clinical importance of aVR lead‐related changes in predicting the prognosis of acute myocardial infarction remains uncertain. The present study aimed to assess the value of ST‐segment changes in aVR lead and the outcome and sequels of the first episode of acute ST‐segment elevati...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-12-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.387 |
| _version_ | 1823946166407004160 |
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| author | Sogol Sedighi Mustafa Fattahi Pooyan Dehghani Amir Aslani Zahra Mehdipour Namdar Mani Hassanzadeh |
| author_facet | Sogol Sedighi Mustafa Fattahi Pooyan Dehghani Amir Aslani Zahra Mehdipour Namdar Mani Hassanzadeh |
| author_sort | Sogol Sedighi |
| collection | DOAJ |
| description | Abstract Background Clinical importance of aVR lead‐related changes in predicting the prognosis of acute myocardial infarction remains uncertain. The present study aimed to assess the value of ST‐segment changes in aVR lead and the outcome and sequels of the first episode of acute ST‐segment elevation myocardial infarction. Methods This prospective cohort study was conducted on patients suffering first episode of ST‐segment elevation myocardial infarction and underwent percutaneous coronary intervention. Information was collected through hospital‐recorded files reading. The electrocardiogram (ECG) was taken from the patients upon entering the hospital and followed‐up for 30 days to assess cardiovascular complications. Results In patients with anterior STEMI, with the use of multivariate analysis, admission aVR ST elevation ≥1 mm was found to be a strong and independent predictor of major cardiovascular adverse events (MACE) within 30 days of discharging (P value for trend .002). In patients with inferior (± RV) ST‐segment elevation myocardial infarction (STEMI), with the use of multivariate analysis, admission aVR ST depression ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging (P value for trend .01). Conclusion In patients with anterior STEMI, admission aVR STE ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging. On the other hand, in patients with inferior STEMI, aVR ST depression ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging. |
| first_indexed | 2024-12-17T09:27:47Z |
| format | Article |
| id | doaj.art-7faa30aa5bc342da94d696270d892f54 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-12-17T09:27:47Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-7faa30aa5bc342da94d696270d892f542022-12-21T21:54:23ZengWileyHealth Science Reports2398-88352021-12-0144n/an/a10.1002/hsr2.387aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarctionSogol Sedighi0Mustafa Fattahi1Pooyan Dehghani2Amir Aslani3Zahra Mehdipour Namdar4Mani Hassanzadeh5Cardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranCardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranCardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranCardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranCardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranCardiovascular Research Center Shiraz University of Medical Sciences Shiraz IranAbstract Background Clinical importance of aVR lead‐related changes in predicting the prognosis of acute myocardial infarction remains uncertain. The present study aimed to assess the value of ST‐segment changes in aVR lead and the outcome and sequels of the first episode of acute ST‐segment elevation myocardial infarction. Methods This prospective cohort study was conducted on patients suffering first episode of ST‐segment elevation myocardial infarction and underwent percutaneous coronary intervention. Information was collected through hospital‐recorded files reading. The electrocardiogram (ECG) was taken from the patients upon entering the hospital and followed‐up for 30 days to assess cardiovascular complications. Results In patients with anterior STEMI, with the use of multivariate analysis, admission aVR ST elevation ≥1 mm was found to be a strong and independent predictor of major cardiovascular adverse events (MACE) within 30 days of discharging (P value for trend .002). In patients with inferior (± RV) ST‐segment elevation myocardial infarction (STEMI), with the use of multivariate analysis, admission aVR ST depression ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging (P value for trend .01). Conclusion In patients with anterior STEMI, admission aVR STE ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging. On the other hand, in patients with inferior STEMI, aVR ST depression ≥1 mm was found to be a strong and independent predictor of MACE within 30 days of discharging.https://doi.org/10.1002/hsr2.387aVR ST‐segment changemyocardial infarctionprognosis |
| spellingShingle | Sogol Sedighi Mustafa Fattahi Pooyan Dehghani Amir Aslani Zahra Mehdipour Namdar Mani Hassanzadeh aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction Health Science Reports aVR ST‐segment change myocardial infarction prognosis |
| title | aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction |
| title_full | aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction |
| title_fullStr | aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction |
| title_full_unstemmed | aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction |
| title_short | aVR ST‐segment changes and prognosis of ST‐segment elevation myocardial infarction |
| title_sort | avr st segment changes and prognosis of st segment elevation myocardial infarction |
| topic | aVR ST‐segment change myocardial infarction prognosis |
| url | https://doi.org/10.1002/hsr2.387 |
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