Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients with first Non-ST segment elevation myocardial infarction: A single center study

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BAKHTIARI FATEMEH; Davarmoin Ghiti; GHAFFARI SAMAD; ASLANABADI NASER; SEPARHAM AHMAD

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Journal: Caspian Journal of Internal Medicine Year:2019 | Volume:10 | Issue:3 Page(s): 289-294

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Title

Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients with first Non-ST segment elevation myocardial infarction: A single center study

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Keywords

Non ST-segment elevation myocardial infarction (NSTEMI)

Left ventricular hypertrophy (LVH)

Electrocardiography (ECG)

in-hospital mortality

Abstract

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.

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APA: Copy

BAKHTIARI, FATEMEH, Davarmoin, Ghiti, GHAFFARI, SAMAD, ASLANABADI, NASER, & SEPARHAM, AHMAD. (2019). Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients with first Non-ST segment elevation myocardial infarction: A single center study. CASPIAN JOURNAL OF INTERNAL MEDICINE, 10(3), 289-294. SID. https://sid.ir/paper/323617/en

Vancouver: Copy

BAKHTIARI FATEMEH, Davarmoin Ghiti, GHAFFARI SAMAD, ASLANABADI NASER, SEPARHAM AHMAD. Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients with first Non-ST segment elevation myocardial infarction: A single center study. CASPIAN JOURNAL OF INTERNAL MEDICINE[Internet]. 2019;10(3):289-294. Available from: https://sid.ir/paper/323617/en

IEEE: Copy

FATEMEH BAKHTIARI, Ghiti Davarmoin, SAMAD GHAFFARI, NASER ASLANABADI, and AHMAD SEPARHAM, “Electrocardiographic left ventricular hypertrophy is not associated with increased in-hospital adverse events in patients with first Non-ST segment elevation myocardial infarction: A single center study,” CASPIAN JOURNAL OF INTERNAL MEDICINE, vol. 10, no. 3, pp. 289–294, 2019, [Online]. Available: https://sid.ir/paper/323617/en

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