Fragmented QRS complex is an independent predictor of plaque burden in patients at intermediate risk of coronary artery disease

Mahfouz, Ragab A.; Arab, Mohamed; Abdelhamid, Mohamed I.; Elzayat, Ahmad

doi:10.1016/j.ihj.2019.11.254

Cited by 3 publications

(2 citation statements)

References 35 publications

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“…In consistent with this the findings, Guo et al, investigated the importance of fQRS complexes in detecting culprit lesions in cases with NSTMI (15) . This was agreed with the outcomes of the (3) .…”

Section: Discussionmentioning

confidence: 63%

Relation between fragmented QRS complex and severity of coronary artery disease evaluated by SYNTAX score

Ahmed

Abd-Elbaset

Mohammed

et al. 2022

ijhs

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Background: CAD is a CVD that is the main reason for mortality worldwide. CAD is an inflammatory atherosclerotic disorder characterised by stable or unstable angina, sudden cardiac death or MI. Objective: Measuring the relationship between fQRS complex and CAD severity in CA cases. Patients and Methods: This research was conducted on 120 cases that performed coronary catheterization and with developed CAD. All cases underwent clinical examination, and 12-lead ECG. CA was performed using Philips machine under local anesthesia using seldinger technique. Results: Our findings revealed highly significant correlation between prevalence of fQRS and SYNTAX score. There was statistically significant increased Syntax score in patients Inf. Notched R when compared Syntax score of patients without spikes in Inf. Notched R, statistically significant increased Syntax score in cases with non-Inf. Notched R when compared Syntax score of patients without non-Inf. Notched R statistically significant increased Syntax score in patients with Inf. Notched S compared with patients without Inf. Notched S. There was highly significant difference between prevalence of fQRS on admission and after PCI. Conclusion: fQRS complex is a simply assessed, noninvasive ECG parameter that predict the occurrence of significant CAD and validation of fQRS as Surveillance tool for CAD.

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Section: Discussionmentioning

confidence: 63%

Relation between fragmented QRS complex and severity of coronary artery disease evaluated by SYNTAX score

Ahmed

Abd-Elbaset

Mohammed

et al. 2022

ijhs

View full text Add to dashboard Cite

show abstract

“…Although initially identified as a totally respiratory disease, the inflammation affects countless organs and systems, producing a series of damages and sequelae with which surviving patients will have to live [15]. In a case series of 146 COVID-19-positive hospitalized patients in China, it was reported that 20% had a cardiac injury and a 51.2% higher mortality compared to 4.5% of patients with cardiac injury versus those without it [16].…”

Section: Introductionmentioning

confidence: 99%

Non-Invasive Systems and Methods Patents Review Based on Electrocardiogram for Diagnosis of Cardiovascular Diseases

et al. 2022

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Cardiovascular disease (CVD) is a global public health problem. It is a disease of multifactorial origin, and with this characteristic, having an accurate diagnosis of its incidence is a problem that health personnel face every day. That is why having all the indispensable tools to achieve optimal results is of utmost importance. Time is an essential factor when identifying heart problems, specialists look for and develop options to improve this aspect, which requires a thorough analysis of the patient, electrocardiograms being the factor standard for diagnosis and monitoring of patients. In this paper, we review patents and combined systems for the analysis of existing electrocardiogram signals, specific to cardiovascular diseases. All these methods and equipment have the purpose of giving an accurate diagnosis and a prediction of the presence of CVD in patients with positive risk factors. These are considered as the first diagnostic option, based on the guidelines already established in the field of preventive cardiology. The methodology consists of the searching of specific electrocardiography and cardiovascular disease subjects, taking as a reference the use of various patent databases. A total of 2634 patents were obtained in the consulted databases. Of that total, only 30 patents that met all the previous criteria were considered; furthermore, a second in-depth review of their information was conducted. It is expected that studying and reviewing these patents will allow us to know the variety of tools available for the different pathologies that make up CVD, not only for its immediate diagnosis because, as mentioned, the time factor is decisive for the best forecast but also to allow us to follow up on all the cases that arise, being able to provide a better quality of life to patients with CVD or even being able to lead them to a full recovery.

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Fragmented QRS predicted major adverse cardiovascular events in patients with coronary artery disease and percutaneous coronary intervention, 10-years of follow-up

2022

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Aim Identifying high-risk groups in patient with coronary artery disease (CAD) is critical for predicting future adverse events. fQRS has been shown to be related to major cardiovascular adverse events (MACE) in patients with CAD. However, predictive value of fQRS for more than 5 yrs has not been evaluated. This study examined the predictive value of fQRS in patients with CAD and percutaneous coronary intervention during a 10‑yrs period.Material and methods Patients with CAD and percutaneous coronary intervention between March 2007 and May 2009 were included the study. An electrocardiogram was recorded following percutaneous coronary intervention and analyzed for the presence of fQRS. The fQRS pattern was defined as an additional spike inside the QRS complexes of at least two consecutive leads. Patients were followed for 10 yrs. A MACE was all-cause mortality or new-onset decompensated heart failure. Patients were divided into two groups according to presence or absence of MACE, and their clinical variables were compared.Results Of 1261 patients included in the study, MACE developed in 374 (29.6 %). MACE (+) patients were older (p<0.001), more likely to have diabetes mellitus (p=0.003), fQRS (p<0.001), and ST-elevated myocardial infarction (STEMI) (p<0.001). Multivariable Cox regression analysis revealed that age (p<0.001), STEMI (p=0.001), fQRS (p=0.017), and elevated serum creatinine (p=0.001) were independent predictors of MACE.Conclusion The presence of fQRS predicted MACE during 10 yrs of follow-up of patients with CAD and percutaneous coronary intervention.

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Fragmented QRS complex is an independent predictor of plaque burden in patients at intermediate risk of coronary artery disease

Cited by 3 publications

References 35 publications

Relation between fragmented QRS complex and severity of coronary artery disease evaluated by SYNTAX score

Relation between fragmented QRS complex and severity of coronary artery disease evaluated by SYNTAX score

Non-Invasive Systems and Methods Patents Review Based on Electrocardiogram for Diagnosis of Cardiovascular Diseases

Fragmented QRS predicted major adverse cardiovascular events in patients with coronary artery disease and percutaneous coronary intervention, 10-years of follow-up

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