Abstracts / Journal of Electrocardiology 40 (2007) S1 – S77
Conclusions: Our project demonstrated that significant cardiac events
occur in the elderly population of residential homes without symptoms and
that RPM can be used by nonmedical staff to manage asymptomatic
patients in the community.
doi:10.1016/j.jelectrocard.2007.03.395
ECG-47
The severity of ST-segment elevation in acute inferior myocardial
infarction: does it predict the presence of a proximal culprit lesion
along the right coronary artery course?
Alim Erdem, Mehmet Birhan Ylmaz, Kenan Yalta, Okan Onur Turgut,
İzzet Tandoğan
Department of Cardiology, Medical School, Cumhuriyet University,
Sİvas, Turkey
Introduction: Acute inferior myocardial infarction (AIMI) is generally
characterized by ST-segment elevation in the limb leads (D2, D3, aVF).
Many trials have reported the close relation between the severity of this
ST-segment elevation and the extent of infarction (and also the prognosis).
Based on the clinical studies, several electrocardiographic criteria have
also been propounded to identify the infarct-related artery. This study was
conducted to investigate the possible relation between the severity of
ST-segment elevation and the proximity of the culprit lesion along the
right coronary artery (RCA) course in AIMI.
Methods: Eighty-six patients (47 women, 39 men) admitted to our center
with diagnosis of first AIMI were included in the study. All cases
underwent coronary angiography on day 6 of hospitalization. Patients with
nondominant RCAs were excluded from the study. The lesion with the
highest degree of stenosis along the RCA course was accepted as the culprit
lesion. The RCA was divided into three segments: proximal portion (from
ostium to the first acute margin [AM] artery), mid portion (from the first
AM to the last AM), and distal portion (from the last AM on). In each case,
a single value (STSE) was obtained by the addition of the amplitudes (mm)
of ST-segment elevation in the limb leads (D2, D3, aVF) during the
hyperacute stage of AIMI.
Results: The patients with the culprit lesions in the proximal portion of the
RCA were found to have a mean STSE value of 13.11 F 3.65 mm (mean F
SD), whereas the patients having the culprit lesions in the mid and distal
portions were found to have mean STSE values of 6.92 F 1.32 mm and
5.35 F 0.87 mm, respectively. There was a significant positive correlation
between the severity of ST-segment elevation and the culprit lesion
proximity (r = 0.82, P b .01 for the proximal and r = 0.7, P b .05 for
the mid portions of RCA).
Conclusions: In AIMI, the severity of ST-segment elevation and the
proximity of the culprit lesion along the infarct-related RCA was found to
be closely related, indicating the informative feature of ST-segment
elevation on the prediction of culprit lesion location.
doi:10.1016/j.jelectrocard.2007.03.396
ECG-48
The relationship between P-wave dispersion and myocardial
performance index
Onder Ozturk, Unal Ozturk, Nizamettin Toprak
Diyarbakir Government Hospital, Diyarbakir, Turkey
Dicle University, Department of Public Health, Diyarbakir, Turkey
Department of Cardiology, Dicle University, Diyarbakir, Turkey
Introduction: Increased P-wave dispersion has been associated with higher
mortality in population-based studies and in patients with myocardial
infarction. The aim of this study was to investigate relation between P-wave
dispersion and left ventricular myocardial performance index (LVMPI) in
patients with a first anterior acute myocardial infarction (AMI).
S61
Table 1
Clinical characteristics of patients according to MPI
Group 1 (MPI b0.45) Group 2 (MPI N0.45) P
(n = 75) (n = 55)
Age (y) 59 F 13 58 F 11 NS
Gender (F/M) 17/58 9/46 NS
HT 16 (21%) 20 (36%) NS
DM 6 (8%) 6 (10%) NS
Smoking 50 (66%) 34 (61%) NS
Methods: The subjects were 130 patients (104 men, 26 women, 59 F
12 years) with a first anterior AMI. All patients were evaluated by
echocardiography to measure the left atrial diameter and LVMPI.
Echocardiograms were used to determine LVMPI within 24 hours after
the onset of AMI. Based on the myocardial performance index (MPI), they
were classified into 2 groups: group 1 (MPI b0.45) of 75 patients and group
2 (MPI N0.45) of 55 patients. Electrocardiography was recorded from all
patients on admission to coronary care unit. P-wave dispersion was
calculated by subtracting the minimum -wave duration from the maximum
P wave duration of the 12 leads if the P wave duration was measurable in
more than 7 leads.
Results: There was no significant difference in the baseline characteristics
of patients (Table 1, P N .05). P-wave dispersion was found to be
significantly higher in group 2 than in group 1 patients (59 F 11.3 vs 43 F
10.1 milliseconds, P b .05). The echocardiographic left atrial diameters
were not significantly higher in the group 2 patients than group 1 patients
(34 F 4.4 and 33 F 4.5 mm, respectively, P N .05).
Conclusions: We conclude that P-wave dispersion increases in higher
myocardial performance index. This study demonstrates that there may be a
relationship between P-wave dispersion and LVMPI in patients with a first
anterior AMI. Although, further studies are required.
doi:10.1016/j.jelectrocard.2007.03.397
ECG-49
The comparison of the effect of static and dynamic exercise on QT
interval in healthy elite sportsmen
Gulten Tacoy,a Guliz Yazc,b Huseyin Eroglu,c Murat Turfan,a Kaan Okyay,
Murat Ozdemir, Atiye Cengel
a
Gazi University Medical School Cardiology Department, Ankara, Turkey
b
Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
c
The School of Physical Education and Sport of Gazi University, Ankara,
Turkey
Introduction: Regular physical exercise produces morphological and
functional changes in heart. We sought to determine if static and dynamic
exercise have different effects on autonomic modulation in cardiovascular
system. The aim of the study is to evaluate the autonomic regulation with
electrocardiographic QT intervals in football players (dynamic exercise)
and in weight lifters (static exercise).
Methods: Sixteen football players (mean age, 22.6 years) and 14 weight
lifters (mean age, 23.1 years), which were highly trained elite sportsmen in
The School of Physical Education and Sport of Gazi University and who
have been participating in national and international competitions, were
enrolled in this study. For exclusion of gender differences, all individuals
were men. Subjects had no personal history of any major medical
condition, and none of them were taking any medication. A standard
12-lead resting electrocardiogram was recorded at a paper speed of 25 mm/
s and a gain of 10 mm/mV continuously, and repolarization parameters
were measured. The QT was defined as the interval between the QRS
onset and the end of the T wave. Corrected QT interval was calculated
according to Bazett’s formula.
Results: No differences in repolarization parameters were detected between
groups. All QT interval values were in reference range. Based on the
analysis of data, we conclude that static and dynamic regular exercise lead
similar changes in repolarization parameters.