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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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. |
doi_str_mv | 10.5830/CVJA-2022-045 |
format | Article |
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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.</description><identifier>ISSN: 1995-1892</identifier><identifier>ISSN: 1680-0745</identifier><identifier>EISSN: 1680-0745</identifier><identifier>DOI: 10.5830/CVJA-2022-045</identifier><identifier>PMID: 36166395</identifier><language>eng</language><publisher>South Africa: Clinics Cardive Publishing</publisher><subject>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</subject><ispartof>Cardiovascular Journal of Africa, 2023-09, Vol.34 (4), p.206-19</ispartof><rights>Copyright © 2023 Clinics Cardive Publishing. This work is published under https://creativecommons.org/licenses/by/2.5/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023 Clinics Cardive Publishing 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10870316/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10870316/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36166395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asil, Serkan</creatorcontrib><creatorcontrib>Geneş, Muhammet</creatorcontrib><creatorcontrib>Yaşar, Salim</creatorcontrib><creatorcontrib>Fırtına, Serdar</creatorcontrib><creatorcontrib>Görmel, Suat</creatorcontrib><creatorcontrib>Yıldırım, Erkan</creatorcontrib><creatorcontrib>Gökoğlan, Yalçın</creatorcontrib><creatorcontrib>Tolunay, Hatice</creatorcontrib><creatorcontrib>Buğan, Barış</creatorcontrib><creatorcontrib>Yaşar, Ayşe Saatçi</creatorcontrib><creatorcontrib>Çelik, Murat</creatorcontrib><creatorcontrib>Yüksel, Uygar Çağdaş</creatorcontrib><creatorcontrib>Barçın, Cem</creatorcontrib><creatorcontrib>Kabul, Hasan Kutsi</creatorcontrib><title>Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA)</title><title>Cardiovascular Journal of Africa</title><addtitle>Cardiovasc J Afr</addtitle><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.</description><subject>Angina pectoris</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Topics</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary vessels</subject><subject>Electrocardiography</subject><subject>Enzymes</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>MINOCA</subject><subject>Morphology</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Normal distribution</subject><subject>Pathophysiology</subject><subject>Risk Factors</subject><subject>Ultrasonic imaging</subject><subject>Vein & artery diseases</subject><issn>1995-1892</issn><issn>1680-0745</issn><issn>1680-0745</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhiNERUvhyBVZ4lIOATuOneSEVis-WhV6Aa7WxHEaV4kdxs5W-2_4qXW0bVU4eex55vXMvFn2htEPoub04_b3xSYvaFHktBTPshMma5rTqhTPU9w0Imd1UxxnL0O4oYmqK_EiO-aSSckbcZL93US0MBJwHdkZly56GQEJIA77OEwWyIymszp6DOTWxoGY0eiIXgN21l8jzIPVZAaEyUSTIOvItD-kk7B1PaCO1rtDtfMu922IuKTHnSHao3eA-_Rjqt6TzgYDwZCz7-c_rrab96-yox7GYF7fn6fZry-ff26_5ZdXX8-3m8tc86qIuWh4q0tWG00r2RQAHacttEIL0-taVLo1DZdSN20rJatE2zdM9D0vK6kZ62p-mn066M5LO5lOr7uAUc1op9Sd8mDVvxlnB3Xtd4rRuqKcyaRwdq-A_s9iQlSTDdqMIzjjl6CKitWSl6xc0Xf_oTd-QZfmU5wlkyTjjCcqP1AafQho-sduGFWr-Wo1X63mq2R-4t8-HeGRfnCb3wHqTa98</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Asil, Serkan</creator><creator>Geneş, Muhammet</creator><creator>Yaşar, Salim</creator><creator>Fırtına, Serdar</creator><creator>Görmel, Suat</creator><creator>Yıldırım, Erkan</creator><creator>Gökoğlan, Yalçın</creator><creator>Tolunay, Hatice</creator><creator>Buğan, Barış</creator><creator>Yaşar, Ayşe Saatçi</creator><creator>Çelik, Murat</creator><creator>Yüksel, Uygar Çağdaş</creator><creator>Barçın, Cem</creator><creator>Kabul, Hasan Kutsi</creator><general>Clinics Cardive Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230901</creationdate><title>Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA)</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-593bc418ec07692aad30bab5c5efc857cbe9366c9bb66175bf915ff3476c11d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angina pectoris</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Topics</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary vessels</topic><topic>Electrocardiography</topic><topic>Enzymes</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Medical imaging</topic><topic>MINOCA</topic><topic>Morphology</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Normal distribution</topic><topic>Pathophysiology</topic><topic>Risk Factors</topic><topic>Ultrasonic imaging</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asil, Serkan</creatorcontrib><creatorcontrib>Geneş, Muhammet</creatorcontrib><creatorcontrib>Yaşar, Salim</creatorcontrib><creatorcontrib>Fırtına, Serdar</creatorcontrib><creatorcontrib>Görmel, Suat</creatorcontrib><creatorcontrib>Yıldırım, Erkan</creatorcontrib><creatorcontrib>Gökoğlan, Yalçın</creatorcontrib><creatorcontrib>Tolunay, Hatice</creatorcontrib><creatorcontrib>Buğan, Barış</creatorcontrib><creatorcontrib>Yaşar, Ayşe Saatçi</creatorcontrib><creatorcontrib>Çelik, Murat</creatorcontrib><creatorcontrib>Yüksel, Uygar Çağdaş</creatorcontrib><creatorcontrib>Barçın, Cem</creatorcontrib><creatorcontrib>Kabul, Hasan Kutsi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular Journal of Africa</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asil, Serkan</au><au>Geneş, Muhammet</au><au>Yaşar, Salim</au><au>Fırtına, Serdar</au><au>Görmel, Suat</au><au>Yıldırım, Erkan</au><au>Gökoğlan, Yalçın</au><au>Tolunay, Hatice</au><au>Buğan, Barış</au><au>Yaşar, Ayşe Saatçi</au><au>Çelik, Murat</au><au>Yüksel, Uygar Çağdaş</au><au>Barçın, Cem</au><au>Kabul, Hasan Kutsi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial and ventricular arrhythmia predictors with electrocardiographic parameters in myocardial infarction with non-obstructive coronary artery disease (MINOCA)</atitle><jtitle>Cardiovascular Journal of Africa</jtitle><addtitle>Cardiovasc J Afr</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>34</volume><issue>4</issue><spage>206</spage><epage>19</epage><pages>206-19</pages><issn>1995-1892</issn><issn>1680-0745</issn><eissn>1680-0745</eissn><abstract>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.</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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ispartof | Cardiovascular Journal of Africa, 2023-09, Vol.34 (4), p.206-19 |
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language | eng |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
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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