Conclusions: Our project demonstrated that significant cardiac events Table 1
occur in the elderly population of residential homes without symptoms and Clinical characteristics of patients according to MPI that RPM can be used by nonmedical staff to manage asymptomatic Group 1 (MPI b0.45) Group 2 (MPI N0.45) P patients in the community. (n = 75) (n = 55) Age (y) 59 F 13 58 F 11 NS doi:10.1016/j.jelectrocard.2007.03.395 Gender (F/M) 17/58 9/46 NS HT 16 (21%) 20 (36%) NS DM 6 (8%) 6 (10%) NS Smoking 50 (66%) 34 (61%) NS ECG-47 The severity of ST-segment elevation in acute inferior myocardial infarction: does it predict the presence of a proximal culprit lesion Methods: The subjects were 130 patients (104 men, 26 women, 59 F along the right coronary artery course? 12 years) with a first anterior AMI. All patients were evaluated by Alim Erdem, Mehmet Birhan Ylmaz, Kenan Yalta, Okan Onur Turgut, echocardiography to measure the left atrial diameter and LVMPI. İzzet Tandoğan Echocardiograms were used to determine LVMPI within 24 hours after Department of Cardiology, Medical School, Cumhuriyet University, the onset of AMI. Based on the myocardial performance index (MPI), they Sİvas, Turkey were classified into 2 groups: group 1 (MPI b0.45) of 75 patients and group 2 (MPI N0.45) of 55 patients. Electrocardiography was recorded from all patients on admission to coronary care unit. P-wave dispersion was Introduction: Acute inferior myocardial infarction (AIMI) is generally calculated by subtracting the minimum -wave duration from the maximum characterized by ST-segment elevation in the limb leads (D2, D3, aVF). P wave duration of the 12 leads if the P wave duration was measurable in Many trials have reported the close relation between the severity of this more than 7 leads. ST-segment elevation and the extent of infarction (and also the prognosis). Results: There was no significant difference in the baseline characteristics Based on the clinical studies, several electrocardiographic criteria have of patients (Table 1, P N .05). P-wave dispersion was found to be also been propounded to identify the infarct-related artery. This study was significantly higher in group 2 than in group 1 patients (59 F 11.3 vs 43 F conducted to investigate the possible relation between the severity of 10.1 milliseconds, P b .05). The echocardiographic left atrial diameters ST-segment elevation and the proximity of the culprit lesion along the were not significantly higher in the group 2 patients than group 1 patients right coronary artery (RCA) course in AIMI. (34 F 4.4 and 33 F 4.5 mm, respectively, P N .05). Methods: Eighty-six patients (47 women, 39 men) admitted to our center Conclusions: We conclude that P-wave dispersion increases in higher with diagnosis of first AIMI were included in the study. All cases myocardial performance index. This study demonstrates that there may be a underwent coronary angiography on day 6 of hospitalization. Patients with relationship between P-wave dispersion and LVMPI in patients with a first nondominant RCAs were excluded from the study. The lesion with the anterior AMI. Although, further studies are required. highest degree of stenosis along the RCA course was accepted as the culprit lesion. The RCA was divided into three segments: proximal portion (from doi:10.1016/j.jelectrocard.2007.03.397 ostium to the first acute margin [AM] artery), mid portion (from the first AM to the last AM), and distal portion (from the last AM on). In each case, a single value (STSE) was obtained by the addition of the amplitudes (mm) of ST-segment elevation in the limb leads (D2, D3, aVF) during the hyperacute stage of AIMI. ECG-49 Results: The patients with the culprit lesions in the proximal portion of the The comparison of the effect of static and dynamic exercise on QT RCA were found to have a mean STSE value of 13.11 F 3.65 mm (mean F interval in healthy elite sportsmen SD), whereas the patients having the culprit lesions in the mid and distal Gulten Tacoy,a Guliz Yazc,b Huseyin Eroglu,c Murat Turfan,a Kaan Okyay, portions were found to have mean STSE values of 6.92 F 1.32 mm and Murat Ozdemir, Atiye Cengel a 5.35 F 0.87 mm, respectively. There was a significant positive correlation Gazi University Medical School Cardiology Department, Ankara, Turkey b between the severity of ST-segment elevation and the culprit lesion Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey c proximity (r = 0.82, P b .01 for the proximal and r = 0.7, P b .05 for The School of Physical Education and Sport of Gazi University, Ankara, the mid portions of RCA). Turkey Conclusions: In AIMI, the severity of ST-segment elevation and the Introduction: Regular physical exercise produces morphological and proximity of the culprit lesion along the infarct-related RCA was found to functional changes in heart. We sought to determine if static and dynamic be closely related, indicating the informative feature of ST-segment exercise have different effects on autonomic modulation in cardiovascular elevation on the prediction of culprit lesion location. system. The aim of the study is to evaluate the autonomic regulation with electrocardiographic QT intervals in football players (dynamic exercise) doi:10.1016/j.jelectrocard.2007.03.396 and in weight lifters (static exercise). Methods: Sixteen football players (mean age, 22.6 years) and 14 weight lifters (mean age, 23.1 years), which were highly trained elite sportsmen in The School of Physical Education and Sport of Gazi University and who ECG-48 have been participating in national and international competitions, were The relationship between P-wave dispersion and myocardial enrolled in this study. For exclusion of gender differences, all individuals performance index were men. Subjects had no personal history of any major medical Onder Ozturk, Unal Ozturk, Nizamettin Toprak condition, and none of them were taking any medication. A standard Diyarbakir Government Hospital, Diyarbakir, Turkey 12-lead resting electrocardiogram was recorded at a paper speed of 25 mm/ Dicle University, Department of Public Health, Diyarbakir, Turkey s and a gain of 10 mm/mV continuously, and repolarization parameters Department of Cardiology, Dicle University, Diyarbakir, Turkey were measured. The QT was defined as the interval between the QRS onset and the end of the T wave. Corrected QT interval was calculated Introduction: Increased P-wave dispersion has been associated with higher according to Bazett’s formula. mortality in population-based studies and in patients with myocardial Results: No differences in repolarization parameters were detected between infarction. The aim of this study was to investigate relation between P-wave groups. All QT interval values were in reference range. Based on the dispersion and left ventricular myocardial performance index (LVMPI) in analysis of data, we conclude that static and dynamic regular exercise lead patients with a first anterior acute myocardial infarction (AMI). similar changes in repolarization parameters.