Prognostic value of fragmented QRS in acute pulmonary embolism: a cross-sectional-analytic study of the Iranian population

被引：0

作者：

Anar, Mahsa Asadi ^{[1
]}

Ansari, Akram ^{[2
]}

Erabi, Gisou ^{[3
]}

Rahmanian, Mohammad ^{[1
]}

Movahedi, Mahdiyeh ^{[4
]}

Chichagi, Fatemeh ^{[5
]}

Deravi, Niloofar ^{[1
]}

Taghavi, Farid ^{[6
]}

Kazemi, Babak ^{[6
]}

Javanshir, Elnaz ^{[6
]}

Amouei, Erfan ^{[7
]}

Ghaffari, Samad ^{[6
,8
]}

机构：

[1] Shahid Beheshti Univ Med Sci, Student Res Comm, Sch Med, Tehran, Iran

[2] Shantou Univ, Med Coll, Shantou, Guangdong, Peoples R China

[3] Urmia Univ Med Sci, Orumiyeh, Iran

[4] Shahid Beheshti Univ Med Sci, Tehran, Iran

[5] Univ Tehran Med Sci, Students Sci Res Ctr SSRC, Tehran, Iran

[6] Tabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran

[7] Iran Univ Med Sci, Inst Endocrinol & Metab, Res Ctr Prevent Cardiovasc Dis, Tehran, Iran

[8] Tabriz Univ Med Sci, Imam Reza Hosp, Cent Bldg,Univ St, Tabriz 5166615573, Iran

来源：

AMERICAN JOURNAL OF CARDIOVASCULAR DISEASE | 2023年 / 13卷 / 01期

关键词：

Fragmented QRS (fQRS); acute pulmonary embolism (APE); prognostic value; COMPLEX PREDICTS; EVENTS; ELECTROCARDIOGRAM; DIAGNOSIS; MORTALITY; RISK;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Acute Pulmonary embolism (APE) is considered one of the deadliest cardiovascular dis-eases. Electrocardiographic (ECG) abnormalities in pulmonary embolism (PE) are increasingly reported. A growing number of studies have recommended that ECG plays a crucial role in the prognostic assessment of PE patients. However, there is scarce data on the prognostic importance of fragmented QRS (fQRS) on outcomes in patients with APE. This study aims to investigate the prognostic value of fQRS in APE patients. Materials and Methods: This is a cross-sectional-analytic study. This study included 280 patients diagnosed with APE admitted to Shahid Madani hospital, Tabriz, Iran. Computed tomography pulmonary angiography (CTPA) was used to diagnose APE. A checklist was prepared for all patients, demographic, clinical characteristics, and Major Adverse Cardiopulmonary events (MACPE), including in-hospital mortality, need for thrombolysis, mechanical ventilation, and surgical embolectomy, were recorded. Patients were divided into two groups: patients who manifested fQRS on their ECG and patients who did not; Then, demographic, clinical characteristics, and MACPE were compared in the two groups, as mentioned earlier. Furthermore, all statistical analyses were carried out using SPSS software.Results: 48 patients (17.14%) had fQRS(+) on their ECG, and 232 patients (82.86%) did not have it on their ECG. In data analysis, 22 patients (8.7%) had in-hospital mortality, 35 patients (13.9%) needed thrombolysis, nine patients (3.9%) required mechani-cal ventilation, and 13 patients (5.1%) needed surgical embolectomy. fQRS was not significantly associated with in-hospital mortality (P = 0.225), need for thrombolysis (P = 0.684), mechanical ventilation (P = 1.000), and surgical embolectomy (P = 1.000). Demographic and clinical characteristics were also similar in both groups.Conclusions: This study does not support the idea that fQRS on ECG is a valuable predictor of in-hospital mortality, the need for thrombolysis, mechanical ventilation, and surgical embolectomy.

引用

页码：21 / 28

页数：8