Effect of coronary slow flow on intrinsicoid deflection of QRS complex
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CitationSeyis, S. (2018). Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex. Cardiology Research and Practice, 2018.
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, and p < 0.001, resp.). Patients had higher average V1 I D, V6 I D, P wave dispersion, `ITC LA I), TFC Cx, ITC RCA, and 'ITC levels than the control group. A significant linear positive relationship was found between the Vi ID and the TFC LAD, TFC Cx, TFC RCA, and TFC; also between the V6 ID and the ITC 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, corollary slow flow should be diagnosed, followed up, and treated as many of laboratory features suggest ischemic events.