Frontal QRS-T angle as a predictive marker for myocardial damage in acute carbon monoxide poisoning

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dc.authoridTEKIN, Yusuf Kenan/0000-0001-8047-4836
dc.contributor.authorTekin, Yusuf K.
dc.contributor.authorTekin, Gulacan
dc.contributor.authorNur, Naim
dc.contributor.authorKorkmaz, Ilhan
dc.contributor.authorYurtbay, Sefa
dc.date.accessioned2024-10-26T18:04:17Z
dc.date.available2024-10-26T18:04:17Z
dc.date.issued2021
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractIntroduction The present study was undertaken to investigate the prognostic value of the frontal QRS-T angle associated with adverse cardiac outcomes in patients with carbon monoxide (CO) poisoning in early stages in the emergency department. Materials and methods The data of 212 patients with CO poisoning who were admitted to the ED between January 2010 and May 2020 were retrospectively analyzed. The frontal QRS-T angle was obtained from the automatic reports of the EKG device. Results Compared to patients without myocardial damage, among patients with myocardial damage, statistically high creatinine, creatine kinase MB, cardiac troponin I, and frontal QRS-T angle values were found (p < 0.001 for all parameters), while the saturation of arterial blood pH and arterial oxygen values were found to be lower (p = 0.002 and p < 0.001, respectively). The frontal QRS-T angle values were correlated with creatine kinase, creatine kinase-MB, cardiac troponin I, and oxygen saturation (SpO(2)) in arterial blood (r = 0. 232, p = 0.001; r = 0. 253, p = < 0.001; r = 0. 389, p = < 0.001; r = -0. 198, p = 0.004, respectively). The optimum cut-off value of the frontal QRS-T angle was found to be 44.5 (area under the curve: 0.901, 95% confidence interval: 0.814-0.988, sensitivity: 87%, specificity: 84%). Conclusions The frontal QRS-T angle, a simple and inexpensive parameter that can be easily obtained from 12-lead surface electrocardiography, can be used as an early indicator in the detection of myocardial damage in patients with CO poisoning.
dc.identifier.doi10.1177/09603271211043477
dc.identifier.endpageS592
dc.identifier.issn0960-3271
dc.identifier.issn1477-0903
dc.identifier.issue12_SUPPL
dc.identifier.pmid34818096
dc.identifier.scopus2-s2.0-85120475797
dc.identifier.scopusqualityQ2
dc.identifier.startpageS583
dc.identifier.urihttps://doi.org/10.1177/09603271211043477
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28858
dc.identifier.volume40
dc.identifier.wosWOS:000726728300001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofHuman & Experimental Toxicology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCarbon monoxide poisoning
dc.subjectelectrocardiography
dc.subjectfrontal QRS-T angle
dc.titleFrontal QRS-T angle as a predictive marker for myocardial damage in acute carbon monoxide poisoning
dc.typeArticle

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