Correlation of ECG Changes with Coronary Angiographic Findings in Patients of Coronary Artery Disease

Somani, Ayush; Khadse, Satish; Kumar, Sunil; Acharya, Sourya; Gattani, Shreya; Baheti, Amit

doi:10.14260/jemds/2020/481

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Their study showed a sensitivity and specificity of electrocardiography to diagnose myocardial infarction or ischemia ranged from 87.50% to 96.63% and 91.30% to 95.45%, respectively. [13] Their study also showed diagnostic accuracy of electrocardiography to detect myocardial infarction or ischemia, ranged from 89.36% to 96.40%. these findings were higher than the present study.…”

Section: Discussionmentioning

confidence: 94%

Electrocardiography Diagnostic performance in the assessment of significant coronary artery disease and its anatomical site in comparison with coronary angiography among Nigerians: A pilot study

Dodiyi-Manuel¹,

Edafe²

2022

Med Clin Sci

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Introduction: Coronary angiography (CAG) is a useful diagnostic tool in patients with suspected CAD especially in patients that are at high risk. CAG is the gold standard for diagnosis of significant coronary stenosis. However, it can be associated with certain risks. The use of noninvasive assessment tools for predicting CAD is considered because it offers safety, patient convenience, and faster performance. The aim of the study was to assess the predictive value of 12-lead electrocardiogram (ECG) in patients with suspected coronary artery disease (CAD). Methods: 59 consecutive patients aged 40 to 98 years with new onset of chest pain that were referred to the cardiac catheterization laboratory of Bayelsa Specialist Hospital, Yenagoa October 2017 and November, 2018. At admission, a resting standard 12-lead ECG was recorded and the ECG changes were interpreted by the cardiologist. The ECG was recorded as normal or abnormal depending on regional changes in ST segment (ischemic-appearing ST depression or elevation), T-wave inversion (≥ 1 mm) and Q-wave appearance (≥ 0.04 s or ≥ 25% of R-wave amplitude). The III, aVF and II leads were used to detect RCA involvement; V2 or V3 and aVL to detect LCx involvement, and V2 or V3, V1, and V4 were used to detect LAD involvement. ECGs were taken at a paper speed of 25 mm/s and calibration of 10 mm. Results: ECG correctly detected significant stenosis in 21 out of 59 patients with an overall sensitivity per patient of 59.5% and specificity per patient of 59.1%. ECG had the highest sensitivity with LAD involvement LAD (37.3%) and RCA (25.8%), respectively. ECG had a probability of indicating coronary vessel disease in persons with the disease (positive predictive value) 71%, whereas, negative ECG findings were less likely to indicate the absence of disease (a negative predictive value = 46.4%. Similarly, ECG correctly classifying patients as having LAD, RCA, and LCx diseases (66.7%, 70%, and 66.7% respectively) as compared to its ability to correctly classify persons without the respective vessel disease (33.3%, 55.6%, and 55.6%). Among the patients, 59.3% were correctly identified Conclusions: ECG has low sensitivity and specificity for predicting coronary artery stenosis with accuracy ranged 59.5% and 59.1% based on coronary artery analysis.

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Section: Discussionmentioning

confidence: 94%

Electrocardiography Diagnostic performance in the assessment of significant coronary artery disease and its anatomical site in comparison with coronary angiography among Nigerians: A pilot study

Dodiyi-Manuel¹,

Edafe²

2022

Med Clin Sci

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“…However, the genetic and biochemical control of urinary tract development is not completely understood. (12)(13)(14)(15) Elke Wühl, Karlijn J. van Stralen et al suggest that there is defined information found on the long-term natural course of CKD because of CAKUT. Even though Renal Replacement Therapy incidence was higher in children than in adults, it was unexpected to see that 50% of patients did not need RRT until they were in their fourth decade of life, and more than two-thirds of patients advanced to ESRD by the time they were adults.…”

Section: Discussionmentioning

confidence: 99%

Case Report on CAKUT Syndrome with Known Case of Chronic Kidney Disease

Moon¹,

Gomase²,

Moon³

et al. 2022

Journal of Pharmaceutical Negative Results

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Background: Congenital abnormalities of the kidneys and urinary tracts (CAKUT) are conditions brought on by errors in the growth of the kidneys and the outflow tubes that drain the kidneys. Although the issue may not become apparent until later in life, CAKUT is a congenital abnormality brought on by improper urinary system development. Case presentation: We are presenting the case of a 23-year-old man who has chronic kidney disease and is undergoing maintenance hemodialysis. The patient was apparently alright 2 weeks back when he had complained of breathlessness. fever 2 episodes, lower which was insidious in onset and gradually progressive. On arrival, the patient was provided oxygen therapy via a face mask for breathlessness and to make him feel comfortable with the head elevation. On laboratory investigation, the patient’s blood values are altered. The patient underwent computed tomography of the kidney-ureter-bladder (CT-KUB), and Ultrasonography of the kidneys (USG). A permanent tunnel hemodialysis catheter under local anesthesia was placed and he received 2 cycles of hemodialysis. During the course in the hospital, the patient’s condition was improving and was stable clinically and vitally hence, the patient was discharged. Conclusion: CAKUT can occur alone or in conjunction with heart and cardiovascular malformations, gastrointestinal tract malformations, central nervous system malformations, skeletal system malformations, lung, face, genito-reproductive system malformations, abdominal wall malformations, chromosomal abnormalities, MCA, and other organ system malformations.

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Microalbuminuria and Its Correlation with the Severity of Coronary Artery Disease: A Cross-sectional Study in a Rural Area of Central India

Hepat,

Kumar,

Acharya

et al. 2023

Saudi Journal of Kidney Diseases and Transplantation

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Microalbuminuria is a well-established, strong, and independent risk factor of cardiovascular disease. Patients with microalbuminuria are also said to have a higher atherosclerotic load in the form of multivessel coronary artery disease (CAD) than those who do not. In this study, we tried to correlate microalbuminuria with the severity of CAD. In this cross-sectional study, 100 patients with CAD diagnosed on the basis of coronary angiography were enrolled from August 2019 to August 2021. Triple-vessel CAD was observed in 79.4% of cases with the presence of microalbuminuria compared with 3% of cases without microalbuminuria. The association of microalbuminuria with the severity of disease was statistically significant (P <0.01). A significant correlation was observed between microalbuminuria and the Framingham risk score in cases of CAD (P <0.01), which was a measure of the 10-year risk of cardiovascular disease.

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Correlation of ECG Changes with Coronary Angiographic Findings in Patients of Coronary Artery Disease

Cited by 3 publications

References 18 publications

Electrocardiography Diagnostic performance in the assessment of significant coronary artery disease and its anatomical site in comparison with coronary angiography among Nigerians: A pilot study

Electrocardiography Diagnostic performance in the assessment of significant coronary artery disease and its anatomical site in comparison with coronary angiography among Nigerians: A pilot study

Case Report on CAKUT Syndrome with Known Case of Chronic Kidney Disease

Microalbuminuria and Its Correlation with the Severity of Coronary Artery Disease: A Cross-sectional Study in a Rural Area of Central India

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