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Association of Early Repolarization Pattern and Coronary Artery Occlusion in Angiographic Patients
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E Chogan , S Abrotan , H Shirafkan , K Amin , M Hedayati *  |
| 2.Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, I.R.Iran. , drmohammad.hedayati@yahoo.com |
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Abstract: (22 Views) |
Background and Objective: Coronary artery disease (CAD) is the most important disease in the group of cardiovascular diseases. Recently, evidence of the association of early repolarization (ER) with CAD has been proposed. Therefore, the aim of this study was to investigate the association of early repolarization pattern and coronary artery occlusion in angiographic patients at Ayatollah Rouhani Hospital in Babol.
Methods: This cross-sectional study was conducted on all patients who underwent angiography in 2019 at Rouhani Hospital in Babol. The association of ER with demographic variables and patient tests was examined. Then, patients were divided into high, intermediate, and low risk groups based on the Framingham criteria, and the association of ER and CAD was examined and compared in each group.
Findings: In this study, 1351 patients were examined. Overall, the ER pattern was more common in men (190, 23.5% vs. 102, 18.8%) than in women (p<0.01). According to the Framingham criteria, 648 subjects were at low risk, 386 at intermediate risk, and 317 at high risk for coronary artery disease. Individuals with low or intermediate risk according to the Framingham criteria were more likely to have >50% coronary artery stenosis if they had the ER pattern.
Conclusion: The results of the study showed that, even after adjusting for risk factors, among patients with low or intermediate risk according to the Framingham criteria, the presence of ERP, in addition to traditional risk factors, predicted a higher rate of obstructive CAD. These individuals were also at higher risk for multivessel involvement. |
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| Keywords: Electrocardiography, Angiography, Coronary Artery Disease, Early Repolarization. |
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Type of Study: Cross Sectional |
Subject:
Cardiovascular Received: 2025/10/5 | Accepted: 2025/11/19
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