Outcome of all-comers with STEMI based on the grade of ischemia in the presenting ECG

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Pysyväisosoite

http://hdl.handle.net/10138/304174

Lähdeviite

Koivula , K , Eskola , M , Viikilä , J , Lilleberg , J , Huhtala , H , Birnbaum , Y & Nikus , K 2018 , ' Outcome of all-comers with STEMI based on the grade of ischemia in the presenting ECG ' , Journal of Electrocardiology , vol. 51 , no. 4 , pp. 598-606 . https://doi.org/10.1016/j.jelectrocard.2018.03.014

Julkaisun nimi: Outcome of all-comers with STEMI based on the grade of ischemia in the presenting ECG
Tekijä: Koivula, Kimmo; Eskola, Markku; Viikilä, Juho; Lilleberg, Jyrki; Huhtala, Heini; Birnbaum, Yochai; Nikus, Kjell
Tekijän organisaatio: Department of Medicine
Kardiologian yksikkö
Clinicum
HUS Heart and Lung Center
Päiväys: 2018
Kieli: eng
Sivumäärä: 9
Kuuluu julkaisusarjaan: Journal of Electrocardiology
ISSN: 0022-0736
DOI-tunniste: https://doi.org/10.1016/j.jelectrocard.2018.03.014
URI: http://hdl.handle.net/10138/304174
Tiivistelmä: Background: Grade 3 ischemia (G3I) in the 12 lead electrocardiogram (ECG) predicts poor outcome in patients with ST-elevation myocardial infarction (STEMI). The outcome of G3I in "real-life" patient cohorts is unclear. Methods: The aim of the study was to establish the prognostic significance of grade 2 ischemia (G2I), G3I and the STEMI patients excluded from ischemia grading (No grade of ischemia, NG) in a real-life patient population. We assessed in-hospital, 30-day and 1-year mortality as well as other endpoints. Results: The NG patients had more comorbidities and longer treatment delays than the two other groups. Shortterm and 1-year mortality were highest in patients with NG and lowest in patients with G2I. Maximum troponin level was highest in G3I, followed by NG and G2I. In logistic regression multivariable analysis, NG was independently associated with 1-year mortality. Conclusions: NG predicted poor outcome in STEMI patients. G2I predicted relatively favorable outcome. (C) 2018 Elsevier Inc. All rights reserved.
Avainsanat: ST-elevation myocardial infarction
Myocardial ischemia
Grade of ischemia
Electrocardiography
Prognosis
Mortality
ACUTE MYOCARDIAL-INFARCTION
PERCUTANEOUS CORONARY INTERVENTION
ST-SEGMENT ELEVATION
ADMISSION ELECTROCARDIOGRAM
TERMINAL PORTION
DANAMI-2 TRIAL
THROMBOLYSIS
DISTORTION
QRS
ANGIOPLASTY
3121 General medicine, internal medicine and other clinical medicine
Vertaisarvioitu: Kyllä
Pääsyrajoitteet: openAccess
Rinnakkaistallennettu versio: publishedVersion


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