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:: Volume 10, Issue 3 (6-2019) ::
Caspian J Intern Med 2019, 10(3): 289-294 Back to browse issues page
Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients experiencing first non-ST segment elevation myocardial infarction: A single center study
Fatemeh Bakhtiari , Ghiti Davarmoin , Samad Ghaffari , Naser Aslanabadi , Ahmad Separham *
Cardiovascular Research Center, Cardiology Department, Tabriz University of Medical Science, Tabriz, Iran , aseparham@gmail.com
Abstract:   (365 Views)
Background: There is conflicting data about prognostic implication of electrocardiographic (ECG) left ventricular hypertrophy (LVH) in patients with first non- ST-segment elevation myocardial infarction (NSTEMI). We aimed to examine the association of left ventricular hypertrophy (LVH) on admission electrocardiogram with adverse outcomes in patients with NSTEMI.
Methods: In the present study, 460 patients (77.5% males with mean age of 65.44±13.15 years) with first NSTEMI were evaluated. ECG left ventricular hypertrophy (LVH) was diagnosed based on Sokolow-Lyon voltage criteria. Baseline laboratory and clinical results, angiographic data, as well as in- hospital adverse events were compared between the patients with and without LVH.
Results: Electrocardiographic LVH was observed in 74 (16.1%) patients. Patients with LVH had higher admission systolic blood pressure (132.91±21.08 vs 125.80±21.78; P=0.01) and higher peak troponin (6.42±1.03 vs 4.41±0.28; P=0.004), but less likely to undergo coronary angiography (54.1% vs 66.8%; P=0.03) .Patients with electrocardiographic LVH had similar in-hospital mortality (5.4% vs 3.6%, P=0.5) and heart failure/ pulmonary edema (2.7% vs 2.07%, P=0.6) compared to patients without LVH.
Conclusion: The present study showed that among the patients with first NSTEMI, electrocardiographic LVH was not associated with increased in-hospital adverse events.

Keywords: Non ST-segment elevation myocardial infarction (NSTEMI), Left ventricular hypertrophy (LVH), Electrocardiography (ECG), in-hospital mortality
Full-Text [PDF 305 kb]   (52 Downloads)    
Type of Study: Original Article | Subject: Cardiology
Received: 2018/10/21 | Accepted: 2019/02/6 | Published: 2019/07/27
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Bakhtiari F, Davarmoin G, Ghaffari S, Aslanabadi N, Separham A. Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients experiencing first non-ST segment elevation myocardial infarction: A single center study. Caspian J Intern Med. 2019; 10 (3) :289-294
URL: http://caspjim.com/article-1-1638-en.html


Volume 10, Issue 3 (6-2019) Back to browse issues page
Caspian Journal of Internal Medicine
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