The relationship between fragmented QRS complexes and SYNTAX and Gensini scores in patients with acute coronary syndrome

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dc.authoridTENEKECIOGLU, ERHAN/0000-0003-4376-2833
dc.contributor.authorBekler, Adem
dc.contributor.authorBarutcu, Ahmet
dc.contributor.authorTenekecioglu, Erhan
dc.contributor.authorAltun, Burak
dc.contributor.authorGazi, Emine
dc.contributor.authorTemiz, Ahmet
dc.contributor.authorKirilmaz, Bahadir
dc.date.accessioned2025-01-27T20:27:36Z
dc.date.available2025-01-27T20:27:36Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Fragmented QRS (fQRS) complexes on 12-lead electrocardiography (ECG) have been reported to be predictors of cardiac events and all-cause mortality in coronary artery disease (CAD). Aim: To investigate the relationship between fQRS complexes and SYNTAX and Gensini scores in patients with acute coronary syndrome (ACS). Methods: A total of 302 patients (223 men and 79 women) with ACS (133 ST elevated myocardial infarction [STEMI], 107 non-STEMI [NSTEMI], and 62 unstable angina pectoris [USAP]) were evaluated retrospectively in this study. An fQRS pattern was found in 70 patients (fQRS group) but was not found in 232 patients (non-fQRS group). SYNTAX score > 22 and Gensini score > 20 were defined as high SYNTAX and Gensini scores. The relationship between the presence of fQRS on 12-lead ECG and SYNTAX and Gensini scores was assessed. Results: SYNTAX score (p < 0.001), Gensini score (p < 0.001), NYHA class (p < 0.001), QRS duration (p < 0.001), number of disease vessels (p = 0.003), and high sensitive troponin T levels (p = 0.026) were significantly higher in the fQRS group. The number of fQRS leads (HR 5.79, 95% CI 2.78-12.06, p < 0.001, HR 3.41, 95% CI 1.32-8.78, p = 0.016, respectively) was found to be an independent predictor of high SYNTAX score and high Gensini score in multivariate analysis. Conclusions: The number of fQRS leads on 12-lead ECG on admission is associated with the severity and complexity of CAD in patients with ACS.
dc.identifier.doi10.5603/KP.a2014.0208
dc.identifier.endpage254
dc.identifier.issn0022-9032
dc.identifier.issn1897-4279
dc.identifier.issue4
dc.identifier.pmid25371305
dc.identifier.scopus2-s2.0-84928108055
dc.identifier.scopusqualityQ3
dc.identifier.startpage246
dc.identifier.urihttps://doi.org/10.5603/KP.a2014.0208
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22734
dc.identifier.volume73
dc.identifier.wosWOS:000355189800003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherVia Medica
dc.relation.ispartofKardiologia Polska
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectfragmented QRS
dc.subjectGensini score
dc.subjectSYNTAX score
dc.titleThe relationship between fragmented QRS complexes and SYNTAX and Gensini scores in patients with acute coronary syndrome
dc.typeArticle

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