Comparative Prognostic Value of T Wave Inversion and St Depression on the Admission ECG in Non-St Elevation Acute Coronary Syndromes

2013 ◽  
Vol 29 (10) ◽  
pp. S296-S297
Author(s):  
N.S. Tan ◽  
S.G. Goodman ◽  
R.T. Yan ◽  
B. Elbarouni ◽  
A. Budaj ◽  
...  
2015 ◽  
Vol 31 (10) ◽  
pp. S284-S285
Author(s):  
B. Sarak ◽  
S.G. Goodman ◽  
R.T. Yan ◽  
M.K. Tan ◽  
P.G. Steg ◽  
...  

Author(s):  
Guilherme Garcia ◽  
Rafael Freitas ◽  
Felipe Kalil ◽  
Felipe Ferreira ◽  
André Silva ◽  
...  

Rational: The GRACE Score assessed at admission predicts mortality in patients with non-ST elevation acute coronary syndromes (ACS). However, once coronary anatomy is assessed, it is not known whether this score increments prognostic assessment.  Objective: To test the hypothesis that the GRACE Score adds prognostic value to coronary anatomy in patients with ACS. Methods: Prospective cohort, including patients with ACS who underwent coronary angiography while admitted to the hospital. Anatomical extension of coronary disease was characterized by the Duke Jeopardy score (DJS) and the number diseased artery (NDA). The primary end-point was the composite of death, non-fatal MI or refractory unstable angina.  Results: 112 patients enrolled, aged 70 ± 12, 14% incidence of cardiovascular events. C-statistics for GRACE was 0.68 (95%CI=0.53-0.84), for DJS was 0.78 (95%CI=0.67-0.9) and for NAD was 0.74 (95%CI=0.61-0.88). Logistic regression analysis demonstrated independent predictive value of GRACE in relation to anatomical information. However, when this Score was added to DJS or NDA, no improving in c-statistic was observed: DJS-GRACE had a c-statistics of 0.78 (95%CI=0.64–0.92) and NAD-GRACE of 0.76 (95%CI=0.60–0.92).  Conclusion: The GRACE score does not add prognostic value to angiographic data in patients with ACS.


2009 ◽  
Vol 410 (1-2) ◽  
pp. 74-78 ◽  
Author(s):  
Luis C.L. Correia ◽  
Mário S. Rocha ◽  
Ana P. Bittencourt ◽  
Rafael Freitas ◽  
Alexandre C. Souza ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Ehud Chorin ◽  
Matthew Dai ◽  
Edward Kogan ◽  
Lalit Wadhwani ◽  
Eric Shulman ◽  
...  

Background: The COVID-19 pandemic has resulted in worldwide morbidity at unprecedented scale. Troponin elevation is a frequent laboratory finding in hospitalized patients with the disease, and may reflect direct vascular injury or non-specific supply-demand imbalance. In this work, we assessed the correlation between different ranges of Troponin elevation, Electrocardiographic (ECG) abnormalities, and mortality.Methods: We retrospectively studied 204 consecutive patients hospitalized at NYU Langone Health with COVID-19. Serial ECG tracings were evaluated in conjunction with laboratory data including Troponin. Mortality was analyzed in respect to the degree of Troponin elevation and the presence of ECG changes including ST elevation, ST depression or T wave inversion.Results: Mortality increased in parallel with increase in Troponin elevation groups and reached 60% when Troponin was >1 ng/ml. In patients with mild Troponin rise (0.05–1.00 ng/ml) the presence of ECG abnormality and particularly T wave inversions resulted in significantly greater mortality.Conclusion: ECG repolarization abnormalities may represent a marker of clinical severity in patients with mild elevation in Troponin values. This finding can be used to enhance risk stratification in patients hospitalized with COVID-19.


2017 ◽  
pp. 426-432
Author(s):  
Serkan Sivri ◽  
Hacı Ahmet Kasapkara ◽  
Melike Polat ◽  
Yakup Alsancak ◽  
Tahir Durmaz ◽  
...  

2010 ◽  
Vol 411 (7-8) ◽  
pp. 540-545 ◽  
Author(s):  
Luis C.L. Correia ◽  
Bruno B. Andrade ◽  
Valéria M. Borges ◽  
Jorge Clarêncio ◽  
Ana P. Bittencourt ◽  
...  

2010 ◽  
Vol 55 (10) ◽  
pp. A115.E1075
Author(s):  
Luis Correia ◽  
Jamile Leal ◽  
Maria C. Almeida ◽  
Alexandre C. Souza ◽  
Ana P. Bittencourt ◽  
...  

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