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Original Research 


Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions

Ahmet Karakurt, Abdulmelik Yildiz, Cennet Yildiz, Hamit Serdar Basbug.


Abstract
Introduction: We aimed to introduce the prognostic value of simultaneously calculated fragmented QRS and Zwolle scores as a new scoring system in primary PCI of the STEMI patients.
Method: Two hundred fifty-nine STEMI patients were classified as fragmented QRS complex group (fQRS) and non-fragmented QRS complex group (non-fQRS) according to the fragmentation of QRS complex in electrocardiography. These two groups according to whether Zwolle score ≥3 were also classified as high Zwolle score with fQRS complex, high Zwolle score with the non-fQRS complex, the low Zwolle score with fQRS complex, and low Zwolle score with the non-fQRS complex group. The hospitalization data of the patients were analyzed.
Results: In the fQRS group compared with the non-fQRS group, wider QRS (105.2±9.7 vs. 88±7.1, p<0,001) as well as the higher Creatin Kinase-MB [med (IQR): 174 (123-199) vs. 102 (96-147), p<0,001] and creatinine (0.99 (0.87-1.2) vs. 0.83 (0.78-0.83), p<0.001) levels were detected. Killip scores of<1 [18(69.2) vs. 8(30.8),p<0.001] were more frequent. Adverse cardiac events were significantly higher in high Zwolle score with fQRS complex group.
Conclusion: Clinically, fQRS was associated with high adverse cardiac events ratio. Thus, utilization of Zwolle score along with the fragmented QRS is prognostically significant in primary PCI patients admitted with STEMI.

Key words: Zwolle score; fragmented QRS; acute myocardial infarction; adverse cardiac events.


 
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How to Cite this Article
Pubmed Style

Karakurt A, Yildiz A, Yildiz C, Basbug HS. Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. Ulutas Med J. 2016; 2(1): 66-76. doi:10.5455/umj.20160424111257

Web Style

Karakurt A, Yildiz A, Yildiz C, Basbug HS. Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. https://www.ulutasmedicaljournal.com/?mno=223996 [Access: March 15, 2025]. doi:10.5455/umj.20160424111257

AMA (American Medical Association) Style

Karakurt A, Yildiz A, Yildiz C, Basbug HS. Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. Ulutas Med J. 2016; 2(1): 66-76. doi:10.5455/umj.20160424111257


Vancouver/ICMJE Style

Karakurt A, Yildiz A, Yildiz C, Basbug HS. Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. Ulutas Med J. (2016), [cited March 15, 2025]; 2(1): 66-76. doi:10.5455/umj.20160424111257


Harvard Style

Karakurt, A., Yildiz, . A., Yildiz, . C. & Basbug, . H. S. (2016) Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. Ulutas Med J, 2 (1), 66-76. doi:10.5455/umj.20160424111257


Turabian Style

Karakurt, Ahmet, Abdulmelik Yildiz, Cennet Yildiz, and Hamit Serdar Basbug. 2016. Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. THE ULUTAS MEDICAL JOURNAL, 2 (1), 66-76. doi:10.5455/umj.20160424111257


Chicago Style

Karakurt, Ahmet, Abdulmelik Yildiz, Cennet Yildiz, and Hamit Serdar Basbug. "Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions." THE ULUTAS MEDICAL JOURNAL 2 (2016), 66-76. doi:10.5455/umj.20160424111257


MLA (The Modern Language Association) Style

Karakurt, Ahmet, Abdulmelik Yildiz, Cennet Yildiz, and Hamit Serdar Basbug. "Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions." THE ULUTAS MEDICAL JOURNAL 2.1 (2016), 66-76. Print. doi:10.5455/umj.20160424111257


APA (American Psychological Association) Style

Karakurt, A., Yildiz, . A., Yildiz, . C. & Basbug, . H. S. (2016) Association of the Zwolle Score with Fragmented QRS Complex: A Combined Prognostic Tool for Primary Angioplasty in ST Elevation Myocardial Infarctions. THE ULUTAS MEDICAL JOURNAL, 2 (1), 66-76. doi:10.5455/umj.20160424111257


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