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Iranian Heart Journal، جلد ۱۷، شماره ۱، صفحات ۶-۱۳
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عنوان انگلیسی Prediction of the Culprit Artery in Patients with STEMI Undergoing Primary Angioplasty at Rajaie Hospital
چکیده انگلیسی مقاله Background: In ST-elevation myocardial infarction (STEMI), the use of ECG in the acute phase contains useful information, including the lesion location, and it contributes to the appropriate treatment. We sought to evaluate the culprit artery in patients with STEMI through ECG variations and its relation with the culprit lesion identified on angiography. Methods: Patients referring to Rajaie Cardiovascular, Medical, and Research Center between September 2011 and September 2012, due to acute MI accompanied by STEMI were chosen. Based on the ECG, the culprit artery was determined and the amount of ST- elevation in every lead was recorded. On angiography, the exact location of the closure in the main coronary vessels and/or side branches was identified. The findings were adjusted to the ECG, and its ability in the prediction of the culprit lesion was assessed. Results: We studied 100 patients, comprising 17 female and 83 male patients, at an average age of 57.64±11.31 years. The introduced model of ECG was useful for the prediction of the lesion in the proximal right coronary artery (RCA), mid left anterior descending artery (LAD) before D1 after S1, and proximal LAD and the least predictive ability was for the distal LAD and the distal RCA. The relationship between the proximal LAD and ST-elevation >2.5 mm in V1 was significant, and the relationships between the mid LAD before D1 after S1 and QAVL, Q in V4-V6, ST-depression >1 mm in III and no ST-depression in II and AVF were significant as well. Conclusions: Our results demonstrated that in patients with STEMI, ECG was able to reliably predict the location of the culprit lesion in most vessels such as the proximal RCA and the mid LAD before D1 after S1. (Iranian Heart Journal 2016; 17(1): 6-13)
کلیدواژه‌های انگلیسی مقاله culprit artery, STEMI. ECG, Lesion, Angiograph
نویسندگان مقاله Farshad Shakerian |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Vida Khanlarzadeh |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Hamid Reza Sanati |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Ata Firouzi |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Ali Zahedmehr |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Reza Kiani |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Nafiseh Taraghi Delgarm |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

Tahereh Saedi |
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences; Tehran, I.R. Iran

نشانی اینترنتی http://journal.iha.org.ir/article_83063_4ee0a35a4535106b5c0dcfbe4ec74748.pdf
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/162/article-162-1423935.pdf
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