Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions

Year 2016, Volume: 2 Issue: 1, 66 - 76, 01.01.2016

Ahmet Karakurt Abdulmelik Yildiz Cennet Yildiz Hamit Serdar Basbug

https://doi.org/10.5455/umj.20160424111257

Abstract

Introduction: We aimed to introduce the prognostic value of simultaneously calculated fragmented QRS and Zwolle scores as a new scoring system in primary PCI of the STEMI patients. Method: Two hundred fifty-nine STEMI patients were classified as fragmented QRS complex group fQRS and non-fragmented QRS complex group non-fQRS according to the fragmentation of QRS complex in electrocardiography. These two groups according to whether Zwolle score ≥3 were also classified as high Zwolle score with fQRS complex, high Zwolle score with the non-fQRS complex, the low Zwolle score with fQRS complex, and low Zwolle score with the non-fQRS complex group. The hospitalization data of the patients were analyzed. Results: In the fQRS group compared with the non-fQRS group, wider QRS 105.2±9.7 vs. 88±7.1, p

Keywords

Zwolle score, fragmented QRS, acute myocardial infarction, adverse cardiac events.

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