Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction

KOCA, HASAN; Koca, Fadime; KOÇ, Ayşe Selcan; ARDIÇ, Mustafa lütfullah; Demirtas, Abdullah Orhan; Dönmez, Yurdaer; KOÇ, Mevlüt; Kemal İÇEN, Yahya

doi:10.5543/tkda.2018.57296

Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction

Yahya Kemal İçen, (Sağlık Bilimleri Üniversitesi Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Yurdaer Dönmez, (Sağlık Bilimleri Üniversitesi Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Abdullah Orhan Demirtaş, (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Hasan KOCA, (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Mustafa Lütfullah Ardıç, (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Ayşe Selcan Koç, (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Radyoloji Anabilim Dalı, Adana, Türkiye)

Fadime Karataş, (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Mevlüt KOÇ (Sağlık Bilimleri Üniversitesi, Adana Sağlık Uygulamaları ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Adana, Türkiye)

Türk Kardiyoloji Derneği Arşivi

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Yıl: 2019 Cilt: 47 Sayı: 3 Sayfa Aralığı: 168 - 176 Metin Dili: İngilizce DOI: 10.5543/tkda.2018.57296 İndeks Tarihi: 03-06-2020

Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction

Öz:

Objective: The aim of this study was to investigate the relationshipbetween ischemic changes in the lead aVR and leftventricular thrombus (LVT) or high-grade spontaneous echocontrast (SEC) in patients with acute anterior myocardial infarction(MI).Methods: Quantitative T wave polarity in lead aVR (TPaVR)and ST segment deviation in the lead aVR (STaVR) measuredfrom a surface electrocardiogram (ECG), as well as theabsolute numerical values, were recorded. The ST/TPaVRratio was obtained by dividing the larger absolute value bythe smaller. The presence of LVT or high-grade SEC wasrecorded using echocardiograpy. The SYNTAX score (SS),clinical SS (cSS), and residual SS (rSS) were calculated fromangiography results.Results: A total of 34 patients with LVT or high-grade SECwere included in Group 1. Group 2 comprised 170 patients whodid not have any LVT or high-grade SEC. The P wave duration,V2 ST-segment elevation, TPaVR, cSS, and ST/TPaVR ratiowere significantly higher in Group 1. The ejection fraction (EF)and STaVR were significantly higher in Group 2. The EF (Oddsratio [OR]: 0.9, 95% confidence interval [CI]: 0.833–0.973;p=0.008), TPaVR (OR: 1.454, 95% CI: 1.074–1.967; p=0.015),and ST/TPaVR ratio (OR: 1.6, 95% CI: 1.307–1.959; p<0.001)were determined to be independent predictors for Group 1.Conclusion: Ischemic changes in the lead aVR are closelyassociated with LVT or high-grade SEC in anterior MI patients.

Anahtar Kelime:

Akut anteriyor miyokart enfarktüslü hastalarda aVR derivasyonundaki iskemik değişiklikler sol ventrikül trombüs veya yüksek dereceli spontan ekokontrast ile ilişkilidir

Öz:

Amaç: Biz bu çalışmada, akut anteriyor miyokart enfarktüslü (ME) hastalarda, yüzeyel elektrokardiyografide aVR derivasyonundaki iskemik değişiklikler ile sol ventrikül trombüsü (LVT) veya yüksek dereceli spontan ekokontrastı (SEK) arasındaki ilişkiyi araştırmayı amaçladık. Yöntemler: Yüzeyel EKG’de aVR derivasyonunda T dalga polaritesi (TPaVR) ve ST segment sapması (STaVR) sayısal olarak ölçüldü ve mutlak değerleri hesaplandı. Büyük mutlak değerin, küçük olana bölünmesiyle ST/TPaVR oranı elde edildi. Ekokardiyografik görüntülerden LVT veya yüksek dereceli SEK varlığı kaydedildi. Syntax skoru (SS), klinik SS (cSS) ve rezidüel SS’leri (rSS) anjiyografik görüntülerden hesaplandı. Bulgular: Otuz dört hastada LVT veya yüksek dereceli SEK mevcuttu ve Grup 1 olarak adlandırıldı. Yüz yetmiş hastada herhangi bir LVT ya da yüksek dereceli SEK yoktu ve bu hastalar Grup 2 olarak belirlendi. P dalgası süresi, V2 STsegment yüksekliği, TPaVR, cSS ve ST/TPaVR oranı, Grup 1’de anlamlı olarak daha yüksek bulundu. EF ve STaVR, grup 2’de anlamlı olarak yüksek bulundu. EF (OO: 0.9, %95 GA: 0.833–0.973, p=0.008), TPaVR (OO: 1.454, %95 GA: 1.074–1.967, p=0.015) ve ST/TPaVR oranı (OO: 1.6, %95 GA: 1.307–1.959, p<0.001) grup 1 için bağımsız belirteç olarak tespit edildi. Sonuç: Anteriyor ME’li hastalarda; yüzeyel EKG’de aVR derivasyonundaki iskemik değişiklikler, LVT veya yüksek dereceli SEK ile yakından ilişkilidir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kemal İÇEN Y, Dönmez Y, Demirtas A, KOCA H, ARDIÇ M, KOÇ A, Koca F, KOÇ M (2019). Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. , 168 - 176. 10.5543/tkda.2018.57296
Chicago	Kemal İÇEN Yahya,Dönmez Yurdaer,Demirtas Abdullah Orhan,KOCA HASAN,ARDIÇ Mustafa lütfullah,KOÇ Ayşe Selcan,Koca Fadime,KOÇ Mevlüt Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. (2019): 168 - 176. 10.5543/tkda.2018.57296
MLA	Kemal İÇEN Yahya,Dönmez Yurdaer,Demirtas Abdullah Orhan,KOCA HASAN,ARDIÇ Mustafa lütfullah,KOÇ Ayşe Selcan,Koca Fadime,KOÇ Mevlüt Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. , 2019, ss.168 - 176. 10.5543/tkda.2018.57296
AMA	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. . 2019; 168 - 176. 10.5543/tkda.2018.57296
Vancouver	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. . 2019; 168 - 176. 10.5543/tkda.2018.57296
IEEE	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M "Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction." , ss.168 - 176, 2019. 10.5543/tkda.2018.57296
ISNAD	Kemal İÇEN, Yahya vd. "Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction". (2019), 168-176. https://doi.org/10.5543/tkda.2018.57296

APA	Kemal İÇEN Y, Dönmez Y, Demirtas A, KOCA H, ARDIÇ M, KOÇ A, Koca F, KOÇ M (2019). Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. Türk Kardiyoloji Derneği Arşivi, 47(3), 168 - 176. 10.5543/tkda.2018.57296
Chicago	Kemal İÇEN Yahya,Dönmez Yurdaer,Demirtas Abdullah Orhan,KOCA HASAN,ARDIÇ Mustafa lütfullah,KOÇ Ayşe Selcan,Koca Fadime,KOÇ Mevlüt Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. Türk Kardiyoloji Derneği Arşivi 47, no.3 (2019): 168 - 176. 10.5543/tkda.2018.57296
MLA	Kemal İÇEN Yahya,Dönmez Yurdaer,Demirtas Abdullah Orhan,KOCA HASAN,ARDIÇ Mustafa lütfullah,KOÇ Ayşe Selcan,Koca Fadime,KOÇ Mevlüt Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. Türk Kardiyoloji Derneği Arşivi, vol.47, no.3, 2019, ss.168 - 176. 10.5543/tkda.2018.57296
AMA	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. Türk Kardiyoloji Derneği Arşivi. 2019; 47(3): 168 - 176. 10.5543/tkda.2018.57296
Vancouver	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction. Türk Kardiyoloji Derneği Arşivi. 2019; 47(3): 168 - 176. 10.5543/tkda.2018.57296
IEEE	Kemal İÇEN Y,Dönmez Y,Demirtas A,KOCA H,ARDIÇ M,KOÇ A,Koca F,KOÇ M "Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction." Türk Kardiyoloji Derneği Arşivi, 47, ss.168 - 176, 2019. 10.5543/tkda.2018.57296
ISNAD	Kemal İÇEN, Yahya vd. "Ischemic changes in lead aVR is associated with left ventricular thrombus or high-grade spontaneous echocontrast in patients with acute anterior myocardial infarction". Türk Kardiyoloji Derneği Arşivi 47/3 (2019), 168-176. https://doi.org/10.5543/tkda.2018.57296