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A Simple Electrocardiographic Predictor of Early Recovery of Left Ventricular Function in Stress Cardiomyopathy

A Simple Electrocardiographic Predictor of Early Recovery of Left Ventricular Function in Stress Cardiomyopathy
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摘要 Objective: To identify electrocardiographic parameters that predict extent of early improvement in ejection fraction (EF) in patients with stress cardiomyopathy. Methods: We collected baseline clinical, ECG and imaging data and follow up echocardiography data on 30 consecutive patients with stress cardiomyopathy. The relationship between baseline ECG parameters and Delta EF was evaluated by univariate and multivariable analysis. Results: Median EF improved from 35% to 55% (p < 0.0001). Delta EF showed negative correlation with number of leads with T inversion (p = 0.01) and QT interval (p = 0.02). The number of leads with T inversion was independently associated with Delta EF (coefficient ?4.878, p = 0.04). Conclusion: The number of leads with T wave inversion is negatively correlated with and is an independent predictor of the extent of early improvement of EF in patients with stress cardiomyopathy. Hence the ECG at initial presentation can be used as a simple tool to predict LV function recovery. Objective: To identify electrocardiographic parameters that predict extent of early improvement in ejection fraction (EF) in patients with stress cardiomyopathy. Methods: We collected baseline clinical, ECG and imaging data and follow up echocardiography data on 30 consecutive patients with stress cardiomyopathy. The relationship between baseline ECG parameters and Delta EF was evaluated by univariate and multivariable analysis. Results: Median EF improved from 35% to 55% (p < 0.0001). Delta EF showed negative correlation with number of leads with T inversion (p = 0.01) and QT interval (p = 0.02). The number of leads with T inversion was independently associated with Delta EF (coefficient ?4.878, p = 0.04). Conclusion: The number of leads with T wave inversion is negatively correlated with and is an independent predictor of the extent of early improvement of EF in patients with stress cardiomyopathy. Hence the ECG at initial presentation can be used as a simple tool to predict LV function recovery.
出处 《International Journal of Clinical Medicine》 2012年第7期673-679,共7页 临床医学国际期刊(英文)
关键词 EJECTION FRACTION CARDIOMYOPATHY ELECTROCARDIOGRAPHY Ejection Fraction Cardiomyopathy Electrocardiography
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