Reconsidering Electrocardiographic Predictors of Culprit Coronary Artery Occlusion in NSTEMI Patients

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Mucahit Yetim, Ömer Burak Çelik, Macit Kalçık
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引用次数: 0

Abstract

This letter provides a critical appraisal of the study by Wei et al. on clinical and electrocardiographic predictors of left circumflex artery occlusion in NSTEMI patients. While the authors identified STV5 + STV6 ≥ 2.5 mm and T-wave imbalance as potential markers, concerns remain regarding the single-center, retrospective design, limited sensitivity of ECG findings, and the lack of significant differences in clinical outcomes. Prior meta-analyses suggest a higher risk in patients with occluded culprit arteries, highlighting inconsistencies with the present study. Future research should employ multicenter prospective designs and advanced diagnostic modalities, including posterior ECG leads and artificial intelligence–based analysis, to improve detection and risk stratification of culprit LCX occlusion in NSTEMI.

重新考虑NSTEMI患者罪魁祸首冠状动脉闭塞的心电图预测因素。
这封信对Wei等人关于NSTEMI患者左旋动脉闭塞的临床和心电图预测因素的研究进行了批判性评价。虽然作者确定STV5 + STV6≥2.5 mm和t波不平衡是潜在的标志物,但人们仍然关注单中心、回顾性设计、ECG结果敏感性有限以及临床结果缺乏显著差异。先前的荟萃分析表明,罪魁祸首动脉闭塞的患者风险更高,这与本研究的不一致。未来的研究应采用多中心前瞻性设计和先进的诊断方式,包括后路心电图导联和基于人工智能的分析,以提高NSTEMI中罪魁祸首LCX闭塞的检测和风险分层。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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