Roles of Morris Index on Poor Outcomes in Patients with Non-ST Segment Elevation Acute Coronary Syndrome.

Abstract:

:BACKGROUND This study aimed to assess the roles of the Morris index in predicting poor outcomes in patients with non-ST segment elevation acute coronary syndrome (NSTE-ACS). MATERIAL AND METHODS This study included 905 patients with newly diagnosed NSTE-ACS. The Morris index, also known as P wave terminal force in lead V1 (PTFV1), was recorded at admission and discharge. PTVF1 (+) was defined as an absolute value >0.04 mm·s, while PTFV1 (-) was defined as an absolute value <0.04 mm·s. Based on their PTFV1 values at admission/discharge, patients were divided into 4 groups: PTFV1 (-)/(-), PTFV1 (+)/(-), PTFV1 (-)/(+), and PTFV1 (+)/(+). Univariate and multivariate regression analyses were utilized to identify the variables that could contribute to NSTE-ACS risk. RESULTS Compared with the PTFV1 (-)/(-) group, the incidence of poor outcomes was significantly higher in the PTFV1 (-)/(+) (hazard ratio [HR], 3.548; 95% confidence interval [95% CI], 2.024-6.219) and PTFV1 (+)/(+) (HR, 2.133; 95% CI, 1.141-3.986) groups, but not statistically different in the PTFV1 (+)/(-) group (risk ratio, 0.983; 95% CI, 0.424-2.277). CONCLUSIONS Primary PTFV1 (+) at discharge and PTFV1 (+) during hospitalization were independent risk factors for poor outcomes, which may provide useful prognostic information for patients with NSTE-ACS.

journal_name

Med Sci Monit

authors

Lin H,Lin T,Lin L,Ye M

doi

10.12659/MSM.924418

subject

Has Abstract

pub_date

2020-10-19 00:00:00

pages

e924418

eissn

1234-1010

issn

1643-3750

pii

924418

journal_volume

26

pub_type

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