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dc.contributor.authorAyhan, Erkan
dc.contributor.authorIsik, Turgay
dc.contributor.authorUyarel, Huseyin
dc.contributor.authorErgelen, Mehmet
dc.contributor.authorCicek, Gokhan
dc.contributor.authorAltay, Servet
dc.contributor.authorEren, Mehmet
dc.contributor.authorGibson, Charles Michael
dc.date.accessioned2020-10-22T15:59:57Z
dc.date.available2020-10-22T15:59:57Z
dc.date.issued2012-10-01T00:00:00Z
dc.identifier.citationAyhan E., Isik T., Uyarel H., Ergelen M., Cicek G., Altay S., Eren M., Gibson C. M. , -Patients with Tombstoning Pattern on the Admission Electrocardiography Who Have Undergone Primary Percutaneous Coronary Intervention for Anterior Wall ST-Elevation Myocardial Infarction: In-Hospital and Midterm Clinical Outcomes-, ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, cilt.17, ss.315-322, 2012
dc.identifier.urihttp://hdl.handle.net/20.500.12645/23814
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/full/10.1111/j.1542-474X.2012.00524.x
dc.description.abstractBackground: A tombstoning pattern (T-pattern) is associated with in-hospital poor outcomes patients with ST-segment elevation myocardial infarction (STEMI), but no data are available for midterm follow-up. We sought to determine the prognostic value of a T-pattern on admission electrocardiography (ECG) for in-hospital and midterm mortality in patients with anterior wall STEMI treated with primary percutaneous coronary intervention (PCI). Methods: After exclusion, 169 consecutive patients with anterior wall STEMI (mean age: 55 +/- 12.9 years; 145 men) undergoing primary PCI were prospectively enrolled in this study. Patients were classified as a T-pattern (n = 32) or nonT-pattern (n = 137) based upon the admission ECG. Follow-up to 6 months was performed. Results: In-hospital mortality tended to be higher in the T-pattern group compared with nonT-pattern group (9.3% vs 2.1% respectively, P = 0.05). All-cause mortality was higher in the T-pattern group than nonT-pattern group for 6 month (P = 0.004). After adjusting the baseline characteristics, the T-pattern remained an independent predictor of 6-month all-cause mortality (odds ratio: 5.18; 95% confidence interval: 1.2521.47, P = 0.02). Conclusion: A T-pattern is a strong independent predictor of 6-month all-cause mortality in anterior STEMI treated with primary PCI. Therefore, it may be an indicator of high risk among patients with anterior wall STEMI.
dc.subjectMyocardial Infarction
dc.titlePatients with Tombstoning Pattern on the Admission Electrocardiography Who Have Undergone Primary Percutaneous Coronary Intervention for Anterior Wall ST-Elevation Myocardial Infarction: In-Hospital and Midterm Clinical Outcomes
dc.typeArticle
dc.identifier.wosWOS:000310248100003
dc.identifier.scopus84867889729
dc.identifier.doi10.1111/j.1542-474x.2012.00524.x
dc.identifier.pubmed23094877
local.publication.isinternational1


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