Electrocardiography Predictive Value on Coronary Slow Flow Phenomenon
DOI:
https://doi.org/10.37275/bsm.v6i3.454Keywords:
Electrocardiography, QT Dispersion, Cardiovascular Disease, Slow Flow Phenomenon, Fragmented QRSAbstract
Coronary Slow Flow Phenomenon (CSFP) is characterized by the slow flow of contrast in one or more epicardial coronary vessels without evidence of coronary artery stenosis during coronary angiography procedures. CSFP is fairly common at the time of elective angiography with an incidence of around 7% and accounts for about 4% of hospitalized unstable angina cases. Coronary angiography is currently still the only effective way to detect CSFP, but this procedure is an invasive procedure with high costs, there is a risk of allergy to contrast. Electrocardiography (ECG), as a widely available, inexpensive, and simple modality is felt to be an attractive alternative in early detection of this abnormality. The ECG parameters on CSFP discussed in this study include; p-wave dispersion, QT interval dispersion, QRS intrinsic (Tpeak-Tenddeflection duration), and QRS fragmentation. Further studies are needed on the ECG image in CSFP so that in the future ECG can be a cheaper and non-invasive diagnostic modality for CSFP compared to coronary angiography.
Authors
- Erwin Sukandi1*
- Yudhie Tanta2
- Taufik Indrajaya2
- Ali Ghanie2
- Muhammad Irsan Saleh3
- Irfannuddin4
- Radiyati Umi Partan5
- Zulkhair Ali5
- 1Doctoral Student of Biomedical Science, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
- 2Cardiology Division, Department of Internal Medicine, Faculty of Medicine, Universitas Sriwijaya / Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
- 3Department of Pharmacology, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
- 4Department of Physiology, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
- 5Department of Internal Medicine, Faculty of Medicine, Universitas Sriwijaya / Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Corresponding author Erwin Sukandi — esukandi@gmail.com
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