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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1998 August;39(4):413-6

VASCULAR PAPERS 

    ORIGINAL ARTICLES

Resting ECG ­changes in ­long ­term sur­vi­vors after ­carotid endar­te­rec­tomy

Kuukasjarvi P., Salenius J. P., Tarkka M., Riekkinen H.*

From the Depart­ment of Sur­gery, Tam­pere Uni­ver­sity Hos­pital, Tam­pere, Fin­land
* Depart­ment of Sur­gery, Cen­tral Hos­pital of Cen­tral Fin­land, ­Jyväskylä, Fin­land

Objec­tive. To eval­uate the prev­a­lence of ­resting ECG find­ings pre­op­er­a­tively and at the ­follow-up exam­ina­tion in ­long ­term sur­vi­vors ­after ­carotid endar­te­rec­tomy and to ­find out pos­sible alter­a­tion in ECG pat­tern ­between pre­op­er­a­tive and ­follow-up ECG ­records.
Set­ting. Tam­pere Uni­ver­sity Hos­pital.
­Patients. 150 ­patients ­intended to con­trol exam­ina­tion. ­There ­were 97 men and 53 ­women ­with the ­mean age of 63.7 ­years.
Inter­ven­tions. ­Carotid endar­te­rec­tomy.
Meas­ures. Pre­op­er­a­tive and ­follow-up ECG ­records ­were clas­si­fied ­according to Min­ne­sota ­coding ­system.
­Results. No report­able ECG ­items ­were ­found in 92.0% of ­patients pre­op­er­a­tively and in 78.5% at the ­follow-up exam­ina­tion. In 13.3% of ­patients ECG pat­tern was ­changed ­during the ­follow-up. Q-QS-­changes ­were ­found in 6.7% of ­patients pre­op­er­a­tively and in 16.1% of ­patients at the ­follow-up exam­ina­tion. ­Atrial fib­ril­la­tion ­appeared in 4.7% of ­patients ­during the ­follow-up. One new ­RBBB was ­found at the ­follow-up ECG.
Con­clu­sions. In ­this ­selected mate­rial ­resting ECG ­changes in ­long ­term sur­vi­vors ­after ­carotid endar­te­rec­tomy ­were rel­a­tively few. ECG ­changes ­found ­were ­mostly sug­ges­tive of ­ischemic ­heart dis­ease and pro­gres­sion to ­more fre­quent ­ischemic ­changes ­during the ­follow-up was ­obvious.

language: English


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