Relationship between ST-Segment Shifts in Lead aVR and Coronary Complexity in Patients with Acute Coronary Syndrome

Basit Öğe Kaydı
dc.authoridCakan, Fahri/0000-0002-5427-3480
dc.contributor.authorAdar, Adem
dc.contributor.authorOnalan, Orhan
dc.contributor.authorCakan, Fahri
dc.date.accessioned2024-09-29T16:10:00Z
dc.date.available2024-09-29T16:10:00Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground: ST-segment shifts in lead aVR are associated with increased coronary atherosclerosis. However, there is insufficient data about the relationship between ST-segment shifts in lead aVR and coronary complexity. The aim of this study was to investigate this relationship. Methods: This prospective, observational study included 236 patients with acute coronary syndrome who underwent coronary angiography. Electrocardiograms on presentation were reviewed in terms of ST-segment shifts in lead aVR. Inter-observer agreement was analyzed using kappa statistics for the presence of aVR lead ST segment shifts. The patients were divided into two groups according to their Sx scores (<= 22 and > 22). Results: The mean age of the study population was 62.19 +/- 12 years. Eighty-seven patients (37%) had complex coronary artery disease as defined by intermediate-high Sx scores, and 130 patients (55%) had ST-segment shifts in lead aVR. In multivariate logistic regression analysis, ST-segment elevation or depression >= 1 mm were independently associated with intermediate-high Sx scores. Conclusions: In patients with acute coronary syndrome, the presence of ST-segment elevation or depression >= 1 mm in lead aVR may indicate coronary complexity.en_US
dc.identifier.doi10.6515/ACS.201901_35(1).20180622C
dc.identifier.endpage19en_US
dc.identifier.issn1011-6842
dc.identifier.issue1en_US
dc.identifier.pmid30713395en_US
dc.identifier.scopus2-s2.0-85060795826en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage11en_US
dc.identifier.urihttps://doi.org/10.6515/ACS.201901_35(1).20180622C
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7906
dc.identifier.volume35en_US
dc.identifier.wosWOS:000456489000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaiwan Soc Cardiologyen_US
dc.relation.ispartofActa Cardiologica Sinicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCoronary complexityen_US
dc.subjectLead aVRen_US
dc.subjectST-segment shiftsen_US
dc.subjectSyntax scoreen_US
dc.titleRelationship between ST-Segment Shifts in Lead aVR and Coronary Complexity in Patients with Acute Coronary Syndromeen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu