Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA)

The clinical importance and recognition of myocardial infarction with non-obstructive coronary artery disease (MINOCA) is increasing. Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of ar...

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Veröffentlicht in:Cardiovascular Journal of Africa 2023-09, Vol.34 (4), p.206-19
Hauptverfasser: Asil, Serkan, Geneş, Muhammet, Yaşar, Salim, Fırtına, Serdar, Görmel, Suat, Yıldırım, Erkan, Gökoğlan, Yalçın, Tolunay, Hatice, Buğan, Barış, Yaşar, Ayşe Saatçi, Çelik, Murat, Yüksel, Uygar Çağdaş, Barçın, Cem, Kabul, Hasan Kutsi
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container_end_page 19
container_issue 4
container_start_page 206
container_title Cardiovascular Journal of Africa
container_volume 34
creator Asil, Serkan
Geneş, Muhammet
Yaşar, Salim
Fırtına, Serdar
Görmel, Suat
Yıldırım, Erkan
Gökoğlan, Yalçın
Tolunay, Hatice
Buğan, Barış
Yaşar, Ayşe Saatçi
Çelik, Murat
Yüksel, Uygar Çağdaş
Barçın, Cem
Kabul, Hasan Kutsi
description The clinical importance and recognition of myocardial infarction with non-obstructive coronary artery disease (MINOCA) is increasing. Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of arrhythmia with electrocardiographic predictors in MINOCA patients. In this study, patients diagnosed with MINOCA and stable out-patients without significant lesions in their coronary arteries were compared. Morphology-voltage-Pwave duration electrocardiography (MPV ECG) score was used to determine atrial arrhythmia risk. QT interval and QT dispersion T -T time and T -T /QT interval were used to determine ventricular arrhythmia risk. A total of 155 patients were included in our study. Seventy-seven of these patients were in the MINOCA group. There was no statistically significant difference between the two groups in MPV ECG score (1.95 ± 1.03 vs 1.68 ± 1.14, = 0.128). P-wave voltage, P-wave morphology and P-wave duration, which are components of the MPV ECG score, were not statistically significantly different. The QRS complex duration (90.21 ± 14.87 vs 82.99 ± 21.59 ms, = 0.017), ST interval (271.95 ± 45.91 vs 302.31 ± 38.40 ms, < 0.001), corrected QT interval (438.17 ± 43.80 vs 421.41 ± 28.39, = 0.005) and QT dispersion (60.75 ± 22.77 vs 34.19 ± 12.95, < 0.001) were statistically significantly higher in the MINOCA group. The T -T (89.53 ± 32.16 vs 65.22 ± 18.11, < 0.001), T -T /QT interval (0.2306 ± 0.0813 vs 0.1676 ± 0.0470, < 0.001) and T -T /corrected QT interval (0.2043 ± 0.6997 vs 0.1551 ± 0.4310, < 0.001) ratios were also significantly higher in patients with MINOCA. In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. We believe this study could be helpful for specific recommendations concerning duration of hospitalisation and follow up in MINOCA patients.
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Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of arrhythmia with electrocardiographic predictors in MINOCA patients. In this study, patients diagnosed with MINOCA and stable out-patients without significant lesions in their coronary arteries were compared. Morphology-voltage-Pwave duration electrocardiography (MPV ECG) score was used to determine atrial arrhythmia risk. QT interval and QT dispersion T -T time and T -T /QT interval were used to determine ventricular arrhythmia risk. A total of 155 patients were included in our study. Seventy-seven of these patients were in the MINOCA group. There was no statistically significant difference between the two groups in MPV ECG score (1.95 ± 1.03 vs 1.68 ± 1.14, = 0.128). P-wave voltage, P-wave morphology and P-wave duration, which are components of the MPV ECG score, were not statistically significantly different. The QRS complex duration (90.21 ± 14.87 vs 82.99 ± 21.59 ms, = 0.017), ST interval (271.95 ± 45.91 vs 302.31 ± 38.40 ms, &lt; 0.001), corrected QT interval (438.17 ± 43.80 vs 421.41 ± 28.39, = 0.005) and QT dispersion (60.75 ± 22.77 vs 34.19 ± 12.95, &lt; 0.001) were statistically significantly higher in the MINOCA group. The T -T (89.53 ± 32.16 vs 65.22 ± 18.11, &lt; 0.001), T -T /QT interval (0.2306 ± 0.0813 vs 0.1676 ± 0.0470, &lt; 0.001) and T -T /corrected QT interval (0.2043 ± 0.6997 vs 0.1551 ± 0.4310, &lt; 0.001) ratios were also significantly higher in patients with MINOCA. In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. 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The QRS complex duration (90.21 ± 14.87 vs 82.99 ± 21.59 ms, = 0.017), ST interval (271.95 ± 45.91 vs 302.31 ± 38.40 ms, &lt; 0.001), corrected QT interval (438.17 ± 43.80 vs 421.41 ± 28.39, = 0.005) and QT dispersion (60.75 ± 22.77 vs 34.19 ± 12.95, &lt; 0.001) were statistically significantly higher in the MINOCA group. The T -T (89.53 ± 32.16 vs 65.22 ± 18.11, &lt; 0.001), T -T /QT interval (0.2306 ± 0.0813 vs 0.1676 ± 0.0470, &lt; 0.001) and T -T /corrected QT interval (0.2043 ± 0.6997 vs 0.1551 ± 0.4310, &lt; 0.001) ratios were also significantly higher in patients with MINOCA. In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. 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Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of arrhythmia with electrocardiographic predictors in MINOCA patients. In this study, patients diagnosed with MINOCA and stable out-patients without significant lesions in their coronary arteries were compared. Morphology-voltage-Pwave duration electrocardiography (MPV ECG) score was used to determine atrial arrhythmia risk. QT interval and QT dispersion T -T time and T -T /QT interval were used to determine ventricular arrhythmia risk. A total of 155 patients were included in our study. Seventy-seven of these patients were in the MINOCA group. There was no statistically significant difference between the two groups in MPV ECG score (1.95 ± 1.03 vs 1.68 ± 1.14, = 0.128). P-wave voltage, P-wave morphology and P-wave duration, which are components of the MPV ECG score, were not statistically significantly different. The QRS complex duration (90.21 ± 14.87 vs 82.99 ± 21.59 ms, = 0.017), ST interval (271.95 ± 45.91 vs 302.31 ± 38.40 ms, &lt; 0.001), corrected QT interval (438.17 ± 43.80 vs 421.41 ± 28.39, = 0.005) and QT dispersion (60.75 ± 22.77 vs 34.19 ± 12.95, &lt; 0.001) were statistically significantly higher in the MINOCA group. The T -T (89.53 ± 32.16 vs 65.22 ± 18.11, &lt; 0.001), T -T /QT interval (0.2306 ± 0.0813 vs 0.1676 ± 0.0470, &lt; 0.001) and T -T /corrected QT interval (0.2043 ± 0.6997 vs 0.1551 ± 0.4310, &lt; 0.001) ratios were also significantly higher in patients with MINOCA. In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. We believe this study could be helpful for specific recommendations concerning duration of hospitalisation and follow up in MINOCA patients.</abstract><cop>South Africa</cop><pub>Clinics Cardive Publishing</pub><pmid>36166395</pmid><doi>10.5830/CVJA-2022-045</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Angina pectoris
Atrial Fibrillation - diagnosis
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Cardiovascular Topics
Coronary Artery Disease - diagnosis
Coronary Artery Disease - diagnostic imaging
Coronary vessels
Electrocardiography
Enzymes
Heart attacks
Humans
Ischemia
Medical imaging
MINOCA
Morphology
Myocardial Infarction - diagnosis
Normal distribution
Pathophysiology
Risk Factors
Ultrasonic imaging
Vein & artery diseases
title Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA)
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