Терапевтический архив (Jan 2013)
Electrocardiographic predictors of in-hospital outcomes of acute coronary syndrome
Abstract
AIM: To estimate the time course of changes in basic electrocardiographic (ECG) parameters in patients with acute coronary syndrome (ACS) as possible predictors of in-hospital outcomes. Materials and methods. The data of 277 patients with acute coronary syndrome (ACS) were used; QT-interval duration was studied by means of an EC12C-01 cardioanalyzer; ST-segment deviation (ΣST), elevation (ΣST-E), and depression (ΣST-D) sums, and corrected QT-interval dispersion (DQTc) were calculated/RESULTS: There were highly significant differences of ΣST in all the patients groups at admission and differences of DQTc in ACS patients with and without ST-segment elevation. The survival rates were significantly different depending on the value of ECG parameters, such as ΣST, ΣST-D, and DQTc/CONCLUSION: The cardioanalyzer can automatically improve the estimation of in-hospital ECG changes and to determine predictors of an ACS outcome.