Evaluation of cases with early repolarization on electrocardiogram and normal population in terms of laboratory and clinical results

Authors : Derya ÖZTÜRK, Ertuğrul ALTINBİLEK, Abuzer COŞKUN

Pages : 433-440

Doi:10.32322/jhsm.1238355

View : 12 | Download : 7

Publication Date : 2023-03-27

Article Type : Research Paper

Abstract :Aim: Early repolarization insert ignore into journalissuearticles values(ER); is a frequent indication, and it is important to correctly evaluate the effects of its benign and malignant forms in terms of prognosis. It was aimed to compare ER cases with the normal population in terms of multi-vessel disease, bypass and mortality. Material and Method: This study comprised 776 patients aged 18 and older who admitted the emergency department between January 2015 and December 2020. 377 of these patients had ER in the electrocardiogram insert ignore into journalissuearticles values(ECG);, 409 patients had normal ECGs and were added to the study as the control group. Age, gender, multi-vessel disease, by-pass and mortality relations of the patients were evaluated with angiographic findings. Results: The mean age of 786 patients was 50.49±6.82 years, 372 insert ignore into journalissuearticles values(47.3%); were female, and the age range was 23-66 years insert ignore into journalissuearticles values(p<0.001);. Of the cases, 110 insert ignore into journalissuearticles values(14%); were in the horizontal ER, 267 insert ignore into journalissuearticles values(34%); were in the ascending ER, and 409 insert ignore into journalissuearticles values(52%); were in the normal group. Multi-vessel disease was observed in 58 insert ignore into journalissuearticles values(7.4%); of all cases insert ignore into journalissuearticles values(p<0.001);, while 19 insert ignore into journalissuearticles values(2.4%); had a by-pass attempt because angiography could not be cured insert ignore into journalissuearticles values(p=0.001);. Of the cases with early repolarization, 176 insert ignore into journalissuearticles values(22.4%); were inferior, 112 insert ignore into journalissuearticles values(14.2%); were inferolateral, 77 insert ignore into journalissuearticles values(9.8%); were anterior, and a small number of them were 12 insert ignore into journalissuearticles values(1.5%); common ER types insert ignore into journalissuearticles values(p<0.001);. Angiography was normal in 575 insert ignore into journalissuearticles values(73.2%); cases, left anterior descending artery was occluded in 65 insert ignore into journalissuearticles values(8.3%);, circumflex artery was occluded in 73 insert ignore into journalissuearticles values(9.3%); and right coronary artery was occluded in 73 insert ignore into journalissuearticles values(9.3%); cases insert ignore into journalissuearticles values(p<0.001);. Eighteen insert ignore into journalissuearticles values(2.3%); patients resulted in mortality in the 60-month follow-up of all cases. Of these, 9 insert ignore into journalissuearticles values(8.2%); were horizontal, 2 insert ignore into journalissuearticles values(0.7%); were asending, and 7 insert ignore into journalissuearticles values(1.7%); were in the normal population insert ignore into journalissuearticles values(p<0.001);. Conclusion: Electrocardiography can be a helpful method to evaluate interventional angiography, prognosis and mortality in both early repolarization cases and normal cases.
Keywords : Emergency Department, Early Repolarization, Angiography, Multiple vessel disease, Mortality