Impact of fragmented QRS on in-hospital mortality in emergency coronary artery bypass grafting for STEMI: A retrospective analysis

Mehmet Altunova; Gul Cakmak

Makale detayları

Impact of fragmented QRS on in-hospital mortality in emergency coronary artery bypass grafting for STEMI: A retrospective analysis

Yazarlar:

Mehmet Altunova | Gul Cakmak

Yayıncı:

Marmara University

Ana Başlıklar:

Surgery (Other)

Dergi:

Marmara Medical Journal Vol.37 Issue 2, pp.121-128

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001317373

pISSN:

1019-1941

Anahtar kelimeler:

Özet:

 Objective: Fragmented QRS complex fQRS is associated with increased morbidity and mortality, sudden cardiac death, and recurrent cardiovascular events. The role of coronary artery bypass grafting CABG in the primary treatment of acute myocardial infarction remains controversial. In this study, we aimed to assess the predictive value of fQRS in-hospital mortality among acute segment elevation myocardial infarction STEMI patients undergoing emergency CABG for primary revascularization. Patients and Methods: Between 2010 and 2020, we retrospectively included 99 consecutive STEMI patients who were not eligible for primary percutaneous intervention and required emergency CABG. The study population was divided into two groups: survivors and non-survivors. We compared the two groups regarding demographic, clinical, and operative characteristics. Results: fQRS was identified as an independent predictor of in-hospital mortality p  0.037. Additionally, left ventricular ejection fraction LVEF was an independent predictor of in-hospital mortality p  0.028. Glomerular filtration rate GFR, glucose levels, and Killip class  III were significantly associated with in-hospital mortality p  0.002, p  0.001 and p  0.001. Conclusion: fQRS emerged as an independent predictor of in-hospital mortality among patients undergoing emergency CABG for primary revascularization in cases of STEMI.

 Objective: Fragmented QRS complex fQRS is associated with increased morbidity and mortality, sudden cardiac death, and recurrent cardiovascular events. The role of coronary artery bypass grafting CABG in the primary treatment of acute myocardial infarction remains controversial. In this study, we aimed to assess the predictive value of fQRS in-hospital mortality among acute segment elevation myocardial infarction STEMI patients undergoing emergency CABG for primary revascularization. Patients and Methods: Between 2010 and 2020, we retrospectively included 99 consecutive STEMI patients who were not eligible for primary percutaneous intervention and required emergency CABG. The study population was divided into two groups: survivors and non-survivors. We compared the two groups regarding demographic, clinical, and operative characteristics. Results: fQRS was identified as an independent predictor of in-hospital mortality p  0.037. Additionally, left ventricular ejection fraction LVEF was an independent predictor of in-hospital mortality p  0.028. Glomerular filtration rate GFR, glucose levels, and Killip class  III were significantly associated with in-hospital mortality p  0.002, p  0.001 and p  0.001. Conclusion: fQRS emerged as an independent predictor of in-hospital mortality among patients undergoing emergency CABG for primary revascularization in cases of STEMI.

 Objective: Fragmented QRS complex fQRS is associated with increased morbidity and mortality, sudden cardiac death, and recurrent cardiovascular events. The role of coronary artery bypass grafting CABG in the primary treatment of acute myocardial infarction remains controversial. In this study, we aimed to assess the predictive value of fQRS in-hospital mortality among acute segment elevation myocardial infarction STEMI patients undergoing emergency CABG for primary revascularization. Patients and Methods: Between 2010 and 2020, we retrospectively included 99 consecutive STEMI patients who were not eligible for primary percutaneous intervention and required emergency CABG. The study population was divided into two groups: survivors and non-survivors. We compared the two groups regarding demographic, clinical, and operative characteristics. Results: fQRS was identified as an independent predictor of in-hospital mortality p  0.037. Additionally, left ventricular ejection fraction LVEF was an independent predictor of in-hospital mortality p  0.028. Glomerular filtration rate GFR, glucose levels, and Killip class  III were significantly associated with in-hospital mortality p  0.002, p  0.001 and p  0.001. Conclusion: fQRS emerged as an independent predictor of in-hospital mortality among patients undergoing emergency CABG for primary revascularization in cases of STEMI.

 Objective: Fragmented QRS complex fQRS is associated with increased morbidity and mortality, sudden cardiac death, and recurrent cardiovascular events. The role of coronary artery bypass grafting CABG in the primary treatment of acute myocardial infarction remains controversial. In this study, we aimed to assess the predictive value of fQRS in-hospital mortality among acute segment elevation myocardial infarction STEMI patients undergoing emergency CABG for primary revascularization. Patients and Methods: Between 2010 and 2020, we retrospectively included 99 consecutive STEMI patients who were not eligible for primary percutaneous intervention and required emergency CABG. The study population was divided into two groups: survivors and non-survivors. We compared the two groups regarding demographic, clinical, and operative characteristics. Results: fQRS was identified as an independent predictor of in-hospital mortality p  0.037. Additionally, left ventricular ejection fraction LVEF was an independent predictor of in-hospital mortality p  0.028. Glomerular filtration rate GFR, glucose levels, and Killip class  III were significantly associated with in-hospital mortality p  0.002, p  0.001 and p  0.001. Conclusion: fQRS emerged as an independent predictor of in-hospital mortality among patients undergoing emergency CABG for primary revascularization in cases of STEMI.

Makale detayları

Impact of fragmented QRS on in-hospital mortality in emergency coronary artery bypass grafting for STEMI: A retrospective analysis

Yazarlar:

Mehmet Altunova | Gul Cakmak

Yayıncı:

Marmara University

Ana Başlıklar:

Surgery (Other)

Dergi:

Marmara Medical Journal Vol.37 Issue 2, pp.121-128

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001317373

pISSN:

1019-1941

Fragmented QRS

ST-elevation myocardial infarction

Coronary artery bypass grafting

Mortality

Sayı

Makale detayları

Impact of fragmented QRS on in-hospital mortality in emergency coronary artery bypass grafting for STEMI: A retrospective analysis

Yazarlar: Mehmet Altunova | Gul Cakmak

Yayıncı: Marmara University

Ana Başlıklar: Surgery (Other)

Dergi: Marmara Medical Journal Vol.37 Issue 2, pp.121-128

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001317373

pISSN: 1019-1941

Fragmented QRS

ST-elevation myocardial infarction

Coronary artery bypass grafting

Mortality

Sayı

Yazarlar:

Mehmet Altunova | Gul Cakmak

Yayıncı:

Marmara University

Ana Başlıklar:

Surgery (Other)

Dergi:

Marmara Medical Journal Vol.37 Issue 2, pp.121-128

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001317373

pISSN:

1019-1941