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

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dc.contributor.author Koivula, Kimmo
dc.contributor.author Eskola, Markku
dc.contributor.author Viikilä, Juho
dc.contributor.author Lilleberg, Jyrki
dc.contributor.author Huhtala, Heini
dc.contributor.author Birnbaum, Yochai
dc.contributor.author Nikus, Kjell
dc.date.accessioned 2019-07-31T21:38:44Z
dc.date.available 2021-12-17T22:00:34Z
dc.date.issued 2018
dc.identifier.citation 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
dc.identifier.other PURE: 115260849
dc.identifier.other PURE UUID: ab7c1afa-77bc-412a-bf8a-74015cee06af
dc.identifier.other WOS: 000440261100009
dc.identifier.other Scopus: 85047076134
dc.identifier.uri http://hdl.handle.net/10138/304174
dc.description.abstract 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. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof Journal of Electrocardiology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject ST-elevation myocardial infarction
dc.subject Myocardial ischemia
dc.subject Grade of ischemia
dc.subject Electrocardiography
dc.subject Prognosis
dc.subject Mortality
dc.subject ACUTE MYOCARDIAL-INFARCTION
dc.subject PERCUTANEOUS CORONARY INTERVENTION
dc.subject ST-SEGMENT ELEVATION
dc.subject ADMISSION ELECTROCARDIOGRAM
dc.subject TERMINAL PORTION
dc.subject DANAMI-2 TRIAL
dc.subject THROMBOLYSIS
dc.subject DISTORTION
dc.subject QRS
dc.subject ANGIOPLASTY
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.title Outcome of all-comers with STEMI based on the grade of ischemia in the presenting ECG en
dc.type Article
dc.contributor.organization Department of Medicine
dc.contributor.organization Kardiologian yksikkö
dc.contributor.organization Clinicum
dc.contributor.organization HUS Heart and Lung Center
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.jelectrocard.2018.03.014
dc.relation.issn 0022-0736
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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