Correlation of QT Corrected Dispersion with Severity of Coronary Artery Disease (Syntax Score) in Patient with ST Segment Elevation Myocardia Infarct (STEMI
Authors
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Steven Philip Surya
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Sidhi Laksono Purwowiyoto
Fakultas Kedokteran Universitas Muhammadiyah Prof DR Hamka
Departemen Jantung dan Pembuluh Darah, Rumah Sakit Pusat Pertamina
Kepala Cathlab, Departemen Jantung dan Pembuluh Darah, Rumah Sakit Umum Daerah Pasar Rebo
Keywords:
Coronary Artery Disease, QT Corrected Dispersion, Syntax ScoreAbstract
Coronary heart disease is still one of the leading causes of death in Indonesia. Prolongation of the QT interval from the ECG is associated with patient output after myocardial infarction. Syntax scores can be used in assessing the severity of coronary arteries. But no one has looked for corrected QT correlations with Syntax scores. Using 35 patients who experienced acute myocardial infarction with ST segment elevation (STEMI) which performed primary coronary intervention, calculated the QT corrected and assessed the Syntax score then correlated. Obtained a moderate correlation between QT corrected with Syntax scores (r = 0.549 p-value <0.001). QT was corrected and Syntax scores had a moderate correlation in STEMI patients who performed primary percutaneous measures at Pertamina Central Hospital.
References
Hussain MA et al. 2016. The burden of cardiovascular disease attributable to majormodifable risk factor in Indonesia. J.Epidemiol. 26(10):515-21.
Stankovic I et al. 2015. Myocardial mechanical and qtc dispersion for the detection of significant coronary artery disease. Eur.Heart.J.Cariovasc Imaging. 16:1015-22.
Sharafat NI et al. 2013. Prolonged qtc dispersion correlates with coronary artery disease in acute st elecation myiocardial infraction (stemi). Cardiovasc.J. 5(2): 173-81.
Heris SO et al. 2014. QT dispersion after thrombolytic therapy. Int.Cardiovasc.Res.J. 8(4): 161-5.
Safarin H et al. 2014. The syntax score can predict major adverse cardiac events following percutaneous coronary intervention. Heart Views.15(4): 99-105.
Nam CW et al. 2011. Functional syntax score for risk assessment in multivessel coronary artery disease. J.Am.Coll.Cardiol. 58(12): 1211-18.
Ibanez B et al. 2017. Esc guidelines for the management of acute myocardial infraction in patient presenting with st-segment elevation. Eur.Heart.J. 39: 119-7.
Helmy H et al. 2017. Correlation of corrected qt dispersion with the severity of coronary artery disease detected by syntax score in non-diabetic patient with stemi. Egypt.Heart J. 69: 111-7.
Genereux P et al. 2011. Syntax score reproducibility and variability between interventional cardiologists, core laboratory technicians, and quantitative coronary measurements. Circ.Cardiovasc.Interv. 4: 553-61.
Capodanno D. 2009. Syntax score: reaching optimal revascularization for complex coronary artery disease. ESC.Counc.Cardiol.Pract.; 8: N 5.
Canto JG et al. 2012. Association of age and sex with myocardial infraction symptom presentation and in-hospital mortality. JAMA. 307(8): 813-22.
Alabas OA et al. 2014. Age-dependent improvements in survival after hospitalization with acure myocardial infraction: an analysis of the myocardial ischemia national audit project (minap). Age.Ageing. 43(6): 779-85.
Campbell DJ. 2008. Why do men and women differ in their risk of myocardial infraction? Eur.Heart.J. 29(7): 835-6.
Aziz F et al. 2010. QT dispersion as a predictor for arrhythmias in patients with actue st elevation myocardial infraction. J.Thorac.Dis. 2(2): 86-8.
Sahu P et al. 2000. Qt dispersion in medicine: electrophysiological holy grail or fool’s gold? Q.J.Med. 93(7): 425-31.
Yuniadi Y et al. 2005. Qt disperse, a simple tool to predit ventricular tachyarrhythmias and/or sudden cardiac death after myocardial infraction. Med.J.Indones. 14: 230-6.
Ikeno F et al. 2017. Syntax score and long-term outcome the bari-2d trial. J.am.Coll.Cardiol. 69(4): 395-403.
Cho Y et al. 2016. The syntax score is correlated with long-term outcomes of coronary bypass grafting for complex coronary artery lesions. Interact.Cardiovasc.Thorac.Surg. 23:125-32.
Capodanno D et al. 2011. Validating the excel hypothesis: a propensity score matched 3-year comparison of percutaneous coronary intervention versus coronary artery bypass graft in left main patient with syntax score <32. Catheter.Cardiovasc.Interv. 77:936-43.
