Prevalence and prognostic significance of fragmented QRS complex in middle-aged subjects with and without clinical or electrocardiographic evidence of cardiac disease

American Journal of Cardiology

Volumn 114, Issue 1, 2014, Pages 141-147

  Terho, Henri K ^a   Tikkanen, Jani T ^a   Junttila, Juhani M ^a   Anttonen, Olli ^b   Kenttä, Tuomas V ^a   Aro, Aapo L ^c   Kerola, Tuomas ^b   Rissanen, Harri A ^d   Reunanen, Antti ^d   Huikuri, Heikki V ^a  

^a UNIVERSITY OF OULU   (Finland)

^b PÄIJÄT HÄME CENTRAL HOSPITAL   (Finland)

^c HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

^d NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BODY MASS; CARDIOVASCULAR MORTALITY; CARDIOVASCULAR RISK; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; ELECTROCARDIOGRAM; FEMALE; FOLLOW UP; FRAGMENTED QRS COMPLEX; HEART DISEASE; HEART VENTRICLE CONDUCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; PREVALENCE; PRIORITY JOURNAL; PROGNOSIS; QRS COMPLEX; SYSTOLIC BLOOD PRESSURE;

ADULT; ELECTROCARDIOGRAPHY; FEMALE; FINLAND; HEART CONDUCTION SYSTEM; HEART DISEASES; HUMANS; MALE; MIDDLE AGED; PREVALENCE; PROGNOSIS;

EID: 84902250326     PISSN: 00029149     EISSN: 18791913     Source Type: Journal    
DOI: 10.1016/j.amjcard.2014.03.066     Document Type: Article

References (17)

1. P.I. Gardner, P.C. Ursell, J.J. Fenoglio, and A.L. Wit Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts Circulation 72 1985 596 611
2. N.C. Flowers, L.G. Horan, W.J. Tollesen, and J.R. Thomas Localization of the site of myocardial scarring in man by high-frequency components Circulation 40 1969 827 834
3. P. Varriale, and B.E. Chryssos The RSR' complex not related to right bundle branch block: diagnostic value as a sign of myocardial infarction scar Am Heart J 123 1992 369 376
4. M.K. Das, C. Saha, H. El Masry, J. Peng, G. Dandamudi, J. Mahenthiran, P. McHenry, and D.P. Zipes Fragmented QRS on a 12-lead ECG: a predictor of mortality and cardiac events in patients with coronary artery disease Heart Rhythm 4 2007 1385 1392
5. M.K. Das, B. Khan, S. Jacob, A. Kumar, and J. Mahenthiran Significance of a fragmented QRS complex versus a Q wave in patients with coronary artery disease Circulation 113 2006 2495 2501
6. A. Reunanen, A. Aromaa, K. Pyörälä, S. Punsar, J. Maatela, and P. Knekt The Social Insurance Institution's coronary artery disease study. Baseline data and 5-year mortality experience Acta Med Scand Suppl 673 1983 1 120
7. J.T. Tikkanen, M.J. Junttila, O. Anttonen, A.L. Aro, S. Luttinen, T. Kerola, S.J. Sager, H.A. Rissanen, R.J. Myerburg, A. Reunanen, and H.V. Huikuri Early repolarization: electrocardiographic phenotypes associated with favorable long-term outcome Circulation 14 2011 2666 2673
8. H.L. Greene, D.W. Richardson, A.H. Barker, D.M. Roden, R.J. Capone, D.S. Echt, L.M. Friedman, M.J. Gillespie, A.P. Hallstrom, and J. Verter Classification of deaths after myocardial infarction as arrhythmic or nonarrhythmic (the Cardiac Arrhythmia Pilot Study) Am J Cardiol 63 1989 1 6
9. J.T. Tikkanen, O. Anttonen, M.J. Junttila, A.L. Aro, T. Kerola, H.A. Rissanen, A. Reunanen, and H.V. Huikuri Long-term outcome associated with early repolarization on electrocardiography N Engl J Med 361 2009 2529 2537
10. M.K. Das, W. Maskoun, C. Shen, M.A. Michael, H. Suradi, M. Desai, R. Subbarao, and D. Bhakta Fragmented QRS on twelve-lead electrocardiogram predicts arrhythmic events in patients with ischemic and nonischemic cardiomyopathy Heart Rhythm 7 2010 74 80
11. G. Pietrasik, I. Goldenberg, J. Zdzienicka, A.J. Moss, and W. Zareba Prognostic significance of fragmented QRS complex for predicting the risk of recurrent cardiac events in patients with Q-wave myocardial infarction Am J Cardiol 100 2007 583 586
12. K. Torigoe, A. Tamura, Y. Kawano, K. Shinozaki, M. Kotoku, and J. Kadota The number of leads with fragmented QRS is independently associated with cardiac death or hospitalization for heart in patients with prior myocardial infarction J Cardiol 59 2012 36 41
13. M.K. Das, M.A. Michael, H. Suradi, J. Peng, A. Sinha, C. Shen, J. Mahenthiran, and R.J. Kovacs Usefulness of fragmented QRS on a 12-lead electrocardiogram in acute coronary syndrome for predicting mortality Am J Cardiol 104 2009 1631 1637
14. A. Brenyo, G. Pietrasik, A. Barsheshet, D.T. Huang, B. Polonsky, S. McNitt, A.J. Moss, and W. Zareba QRS fragmentation and the risk of sudden cardiac death in MADIT II J Cardiovasc Electrophysiol 12 2012 1343 1348
15. J. Pei, N. Li, Y. Gao, Z. Wang, X. Li, Y. Zhang, J. Chen, P. Zhang, K. Cao, and J. Pu The J wave and fragmented QRS complexes in inferior leads associated with sudden cardiac death in patients with chronic heart failure Europace 14 2012 1180 1187
16. H. Morita, K.F. Kusano, D. Miura, S. Nagase, K. Nakamura, S.T. Morita, T. Ohe, D.P. Zipes, and J. Wu Fragmented QRS as a marker of conduction abnormality and a predictor of prognosis of brugada syndrome Circulation 118 2008 1697 1704
17. R.N. MacAlpin The fragmented QRS: does it really indicate a ventricular abnormality J Cardiovasc Med 11 2010 801 809.