Prognostic value of fragmented QRS in acute pulmonary embolism

Abstract

The aim of this study was to investigate the prognostic value of fQRS in APE patient. Materials and Methods: This is a cross sectional-analytic study. This study included 280 patient with APE were admitted in Shahid Madani hospital. Computed tomography pulmonary angiography (CTPA) was used to diagnose APE. For all patient a checklist was prepared and demograhic, clinical characteristic and Major Adverse Cardiopulmonary Event (MACPE) including in-hospital mortality, need for thrombolysis, mechanical ventilation and surgical embolectomy were recorded. Patient were divided into two groups: patient who had fQRS on their ECG, and patient who did not have fQRS on their ECG. Then, demograhic and clinical characteristic and MACPE were compared in this two groups. Forthermore, all statistical analyses were carried out using SPSS version. Results: 48 patient (17.14%) had fQRS (+) on their ECG and 232 patient (82.86%) did not have fQRS on their ECG. In data analysis 22 patient (8.7%) had in-hospital mortality, 35 patient (13.9%) need to thrombolysis, 9 patient (3.9%) need to mechanical ventilation and 13 patient (5.1%) need to surgical embolectomy. fQRS was not significantly associated with in-hospital mortality (P=0.225), need to thrombolysis (P=0.684), mechanical ventilation (P=1.000) and surgical embolectomy (P=1.000). Furthermore, demographic and clinical charasteristic was similar in both groups.