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33rd International Congress on Electrocardiology

International Society of Electrocardiology

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Judge of the impaired left ventricular systolic function from body surface mapping parameters

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  • corresponding author presenting/speaker G. Simonyi - Central Hospital of Ministery of Interior, Budapest, Ungarn
  • E. Szűcs - National Health Service Center, Budapest, Ungarn
  • T. Bauernfeind - National Health Service Center, Budapest, Ungarn
  • K. Szakolczai - National Health Service Center, Budapest, Ungarn
  • M. Szedlák - Central Hospital of Ministery of Interior, Budapest, Ungarn
  • E. Patarcsics - Central Hospital of Ministery of Interior, Budapest, Ungarn
  • J. Király - Central Hospital of Ministery of Interior, Budapest, Ungarn
  • G. Müller - Central Hospital of Ministery of Interior, Budapest, Ungarn
  • I. Prčda - National Health Service Center, Budapest, Ungarn
  • M. Medvegy - Central Hospital of Ministery of Interior, Budapest, Ungarn

33rd International Congress on Electrocardiology. Cologne, 28.06.-01.07.2006. Düsseldorf, Köln: German Medical Science; 2007. Doc06ice105

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/ice2006/06ice105.shtml

Published: February 8, 2007

© 2007 Simonyi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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The electrocardiological investigation could not prognosticate the exact decrease of systolic function of the heart not yet in case of Q-wave myocardial infarction (QMI), either. Quantitative body surface potential mapping (BSPM) parameters (the ratio /Max/Min/ and time-difference /Timeshift/ of the highest maximum and deepest minimum potential) show significant relationship with the location of QMI (with best diagnostic value in case of anterior necrosis). In present study we investigated the relationship between BSPM parameters (whose are indicating anterior electrical potential loss) and impaired left ventricular systolic function in non ST elevation acute coronary syndrome (NSTE-ACS).

Methods: 175 NSTE-ACS cases (123 men, 31-78 years, average: 62) in stable state (when the ECG did not show the signs of NSTE-ACS) and 33 healthy subjects (15 men, 23-72 years, average: 48,8) were investigated by BSPM (63 lead Montreal system). Max/Min and Timeshift were calculated from the isopotential maps during the depolarization. Ejection fraction (EF) was judged from transthoracic ultrasound echocardiography.

Results: concerned cases with Max/Min <0.8 and/or Timeshift <-4ms (45 cases), the averaged EF was 42.9ˇŔ8.3%. When these parameters were not fulfilled (121 cases), the EF was 57.8ˇŔ7.5%. The EF was 61.4ˇŔ6.1% in the normal group. The groups has differed form each others significantly (two samples Student t-probe, p<0,0001). In prognosis of EFˇÜ48%, the diagnostic value of these parameters was: sensitivity: 73.1%, specificity: 93.9%, positive predictive value: 80.9%, and negative predictive value: 90.8%, respectively.

Conclusion: the investigated BSPM parameters can indicate impaired systolic function in NSTE-ACS that is an electrocardiological investigation can give information about the mechanical function of the heart.