open access

Vol 22, No 4 (2015)
Original articles
Published online: 2015-08-28
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Assessment of the relationship between a narrow fragmented QRS complex and coronary slow flow

Huseyin Altug Cakmak, Serkan Aslan, Mehmet Gul, Ali Kemal Kalkan, Derya Ozturk, Omer Celik, Omer Tasbulak, Muhammet Hulusi Satilmisoglu
DOI: 10.5603/CJ.a2015.0007
·
Pubmed: 25588536
·
Cardiol J 2015;22(4):428-436.

open access

Vol 22, No 4 (2015)
Original articles
Published online: 2015-08-28

Abstract

Background: The coronary slow flow (CSF) phenomenon is a delayed antegrade progression of contrast agent to the distal branch of a coronary artery in the absence of obstructive coronary artery disease (CAD). A narrow fragmented QRS (fQRS) has been reported as a significant predictor of sudden cardiac death in patients with idiopathic dilated cardiomyopathy. The present study aimed to investigate the relationship between a narrow fQRS on the admission electrocardiogram (ECG) and CSF on coronary angiography.

Methods: This study included 165 consecutive patients (112 CSF, 53 controls) who underwent first-time diagnostic conventional coronary angiography for suspected CAD. Coronary flow was quantified by thrombolysis in myocardial infarction (TIMI) frame count (TFC). The patients were divided into two groups according to the presence or absence of a narrow fQRS complex on the admission ECG.

Results: Forty four patients were in the fQRS group (mean age, 52.97 ± 3.13 years). There was no difference between the two groups with respect to age, gender, body mass index, family history, hyperlipidemia, hypertension, or diabetes mellitus. The extent of CSF was significantly greater in the fQRS group compared to the non-fragmented group (p < 0.001). A significant correlation was also found between mean TFC values and fQRS (p < 0.001). On multivariate analysis, only CSF (p = 0.03) was a significant independent predictor for narrow fQRS, after adjustment for other parameters.

Conclusions: The narrow fQRS is a simple, inexpensive, and readily available noninvasive ECG parameter that may be a new potential indicator of myocardial damage in patients with CSF.  

Abstract

Background: The coronary slow flow (CSF) phenomenon is a delayed antegrade progression of contrast agent to the distal branch of a coronary artery in the absence of obstructive coronary artery disease (CAD). A narrow fragmented QRS (fQRS) has been reported as a significant predictor of sudden cardiac death in patients with idiopathic dilated cardiomyopathy. The present study aimed to investigate the relationship between a narrow fQRS on the admission electrocardiogram (ECG) and CSF on coronary angiography.

Methods: This study included 165 consecutive patients (112 CSF, 53 controls) who underwent first-time diagnostic conventional coronary angiography for suspected CAD. Coronary flow was quantified by thrombolysis in myocardial infarction (TIMI) frame count (TFC). The patients were divided into two groups according to the presence or absence of a narrow fQRS complex on the admission ECG.

Results: Forty four patients were in the fQRS group (mean age, 52.97 ± 3.13 years). There was no difference between the two groups with respect to age, gender, body mass index, family history, hyperlipidemia, hypertension, or diabetes mellitus. The extent of CSF was significantly greater in the fQRS group compared to the non-fragmented group (p < 0.001). A significant correlation was also found between mean TFC values and fQRS (p < 0.001). On multivariate analysis, only CSF (p = 0.03) was a significant independent predictor for narrow fQRS, after adjustment for other parameters.

Conclusions: The narrow fQRS is a simple, inexpensive, and readily available noninvasive ECG parameter that may be a new potential indicator of myocardial damage in patients with CSF.  

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Keywords

coronary slow flow, narrow fragmented QRS, thrombolysis in myocardial infarction frame count, electrocardiography

About this article
Title

Assessment of the relationship between a narrow fragmented QRS complex and coronary slow flow

Journal

Cardiology Journal

Issue

Vol 22, No 4 (2015)

Pages

428-436

Published online

2015-08-28

DOI

10.5603/CJ.a2015.0007

Pubmed

25588536

Bibliographic record

Cardiol J 2015;22(4):428-436.

Keywords

coronary slow flow
narrow fragmented QRS
thrombolysis in myocardial infarction frame count
electrocardiography

Authors

Huseyin Altug Cakmak
Serkan Aslan
Mehmet Gul
Ali Kemal Kalkan
Derya Ozturk
Omer Celik
Omer Tasbulak
Muhammet Hulusi Satilmisoglu

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