Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex

Coronary slow flow is a rare, clinically important entity observed in acute coronary syndrome. The pathophysiological mechanism is not fully elucidated. We investigated patients with chest pain who had angiographic features consistent with the coronary slow flow. One hundred ten patients were includ...

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Main Author: Sabri Seyis
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/2451581
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author Sabri Seyis
author_facet Sabri Seyis
author_sort Sabri Seyis
collection DOAJ
description Coronary slow flow is a rare, clinically important entity observed in acute coronary syndrome. The pathophysiological mechanism is not fully elucidated. We investigated patients with chest pain who had angiographic features consistent with the coronary slow flow. One hundred ten patients were included. Electrocardiography, echocardiography, and angiography results were retrospectively noted. The mean age was 56.4. Fifty-eight were male, and fifty-two were female. The control group consisted of patients with normal angiography. Patients had higher diastolic blood pressure, lower mean ejection fraction, higher average left ventricular end-diastolic diameter, and higher mean left atrial size than the control group (p=0.009,p=0.017,p=0.041,andp<0.001, resp.). Patients had higher average V1 ID, V6 ID, P wave dispersion, TFC LAD, TFC Cx, TFC RCA, and TFC levels than the control group. A significant linear positive relationship was found between the V1 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC; also between the V6 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC. Angiographic and electrocardiographic features are suggestive and diagnostic for the coronary slow flow syndrome. Although when regarded as a benign condition, coronary slow flow should be diagnosed, followed up, and treated as many of laboratory features suggest ischemic events.
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spelling doaj-art-fbc4bb1d73fa4817a4fb677b7aca01662025-08-20T03:25:34ZengWileyCardiology Research and Practice2090-80162090-05972018-01-01201810.1155/2018/24515812451581Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS ComplexSabri Seyis0Department of Cardiology, Liv Hospital, Istinye University, Istanbul, TurkeyCoronary slow flow is a rare, clinically important entity observed in acute coronary syndrome. The pathophysiological mechanism is not fully elucidated. We investigated patients with chest pain who had angiographic features consistent with the coronary slow flow. One hundred ten patients were included. Electrocardiography, echocardiography, and angiography results were retrospectively noted. The mean age was 56.4. Fifty-eight were male, and fifty-two were female. The control group consisted of patients with normal angiography. Patients had higher diastolic blood pressure, lower mean ejection fraction, higher average left ventricular end-diastolic diameter, and higher mean left atrial size than the control group (p=0.009,p=0.017,p=0.041,andp<0.001, resp.). Patients had higher average V1 ID, V6 ID, P wave dispersion, TFC LAD, TFC Cx, TFC RCA, and TFC levels than the control group. A significant linear positive relationship was found between the V1 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC; also between the V6 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC. Angiographic and electrocardiographic features are suggestive and diagnostic for the coronary slow flow syndrome. Although when regarded as a benign condition, coronary slow flow should be diagnosed, followed up, and treated as many of laboratory features suggest ischemic events.http://dx.doi.org/10.1155/2018/2451581
spellingShingle Sabri Seyis
Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
Cardiology Research and Practice
title Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
title_full Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
title_fullStr Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
title_full_unstemmed Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
title_short Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex
title_sort effect of coronary slow flow on intrinsicoid deflection of qrs complex
url http://dx.doi.org/10.1155/2018/2451581
work_keys_str_mv AT sabriseyis effectofcoronaryslowflowonintrinsicoiddeflectionofqrscomplex