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[Ischemic J wave changes before and post percutaneous coronary intervention in patients with coronary artery disease]
Insights
Percutaneous coronary intervention (PCI) did not change the number of lead groups with ischemic J waves in coronary heart disease (CHD) patients. However, PCI reduced the amplitude of these J waves, indicating an improvement in ischemic J waves post-procedure.
Area of Science:
- Cardiology
- Electrocardiography
- Interventional Cardiology
Context:
- Coronary heart disease (CHD) poses significant risks.
- Ischemic J waves on ECG can indicate myocardial injury.
- Percutaneous coronary intervention (PCI) is a common treatment for CHD.
Purpose:
- To investigate the incidence and characteristics of ischemic J waves before and after PCI in CHD patients.
- To analyze changes in J wave amplitude and number of affected leads post-PCI.
Summary:
- A study analyzed 12-lead ECGs from 117 CHD patients before and after PCI.
- The number of lead groups with J waves remained similar, but the incidence of small J waves increased, while large and enormous J waves decreased post-PCI.
- Specifically, J wave amplitude showed a reduction after PCI.
Impact:
- PCI may improve the characteristics of ischemic J waves in CHD patients.
- This suggests a potential benefit of PCI beyond revascularization.
- Further research can explore the prognostic value of these J wave changes.
Objective:
To observe the incidence of ischemic J wave before and post percutaneous coronary intervention (PCI) in patients with coronary heart disease (CHD).
Methods:
CHD patients (n = 117) underwent percutaneous coronary intervention (PCI) in Shanxi cardiovascular hospital were included in this study. The 12-lead ECGs were recorded within 24 hours before and after PCI. The ischemic J waves of five lead-groups (II, III, aVF group: V(1), V(2) group; V(3), V(4) group; V(5), V(6) group;I, aVL group) were analyzed and the number of lead-groups with J waves (0 - 5) were obtained in each patient. According to time course or wave amplitude, J waves were classified into three grades: small (time course between 0.02 - 0.03 s or wave amplitude between 0.05 - 0.09 mV), large (time course between 0.04 - 0.06 s or wave amplitude between 0.10 - 0.20 mV) and enormous (time course > 0.06 s or wave amplitude > 0.20 mV) J waves.
Results:
The number of lead-groups with ischemic J waves (0 - 5) in each patient was similar between pre and post PCI in the 117 patients (χ(2) = 6.23, P = 0.285). The numbers of small, large and enormous J waves were 157, 36 and 9 respectively before PCI and 163, 20 and 5 after PCI. The incidence of small J waves increased (77.72% vs. 86.70%) while large and enormous J waves decreased (17.82%, 4.46% vs. 10.64%, 2.66%) post PCI (χ(2) = 5.28, P < 0.05).
Conclusions:
The numbers of lead-groups with ischemic J waves were similar before and post PCI. However, the amplitude of ischemic J waves decreased after PCI suggesting PCI could improve ischemic J waves in CHD patients.
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