NDLI: Ecg Changes as Mortality Predictors in Patients with Stemi

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Ecg Changes as Mortality Predictors in Patients with Stemi

Content Provider	Semantic Scholar
Author	Karamfiloff, Kiril K. Georeva, P. Zlatareva, Dora K. Trendafilova, Diana Jorgova, Julia
Copyright Year	2014
Abstract	PURPOSE: Our main purpose is to define the association of ECG changes at admission: localization of ST –T changes, left bundle branch block, third degree AV block, ventricular tachycardia and ventricular fibrillation with mortality rates in patients with STEMI. METHODS: We retrospectively included 549 patients, hospitalized with STEMI in UH “Saint Ekaterina” (age 62.66+12.56 y, women 31.3%). Left bundle block (including left anterior hemi-block) (4.7 % (25pts)), third degree AV block (2.5 % (13pts)), anterior localization (55 % (290pts)), inferior localization (47.8 %(252pts)), lateral localization (26.9 % (142pts)), right ventricular infarction (2.3 % (12pts)).The patients were followed with clinical, echocardiographic methods and stress – test for 12 months. RESULTS: Associated with statistically significant higher mortality rates are the anterior ( 17,3% vs. 6,9%, p<=0.001) and inferior (15,9% vs. 7,6%, p<=0.01) localization of ST -T changes, left bundle branch block (33,3% vs. 10,9%,p<=0,05 ), ventricular fibrillation (45,5% vs. 10,9 %, p<=0,01). Without statistical significance are lateral and right myocardial infarction, ventricular tachycardia. CONCLUSION: ECG is a powerful noninvasive tool not only for diagnostic purposes but also for mortality prediction in patients with STEMI.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://tru.uni-sz.bg/tsj/Vol.%2012%20S1/a19.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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