T-wave inversion in patients with acute pulmonary embolism: prognostic value.
Heart Lung
; 44(1): 68-71, 2015.
Article
em En
| MEDLINE
| ID: mdl-25453388
ABSTRACT
INTRODUCTION:
T-wave inversion (TWI) is a common ECG finding in patients with acute pulmonary embolism (APE).OBJECTIVES:
To determine the prevalence of TWI in patients with APE and to describe their relationship to outcomes.METHODS:
Retrospective study of 437 patients with APE. TWI patterns were described in two distributions inferior (II, III, aVF) and precordial (V1-V6).RESULTS:
TWI was observed in 258 (59%) patients. The mortality rate was significantly higher in the group with TWI in the inferior AND precordial leads compared to the group without TWI (OR 2.74; p = 0.024) and the group with TWI in the inferior OR precordial leads (OR 2.43; p = 0.035). As compared those with TWI in <5 leads, patients with TWI in ≥5 leads experienced significantly higher rates of death (17.1% vs. 6.6%, OR 2.92; p = 0.002) and complications.CONCLUSIONS:
TWI and the quantitative assessment thereof can be useful to risk stratify patients with APE.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
/
Embolia Pulmonar
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Eletrocardiografia
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Sistema de Condução Cardíaco
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Heart Lung
Ano de publicação:
2015
Tipo de documento:
Article