|
ECG |
||||
|
Before thrombolysis |
After thrombolysis |
Before discharge |
||
|
1 hour |
1 day |
2 days |
||
Heart rate |
|
|
|
|
|
Range |
60.0 - 130.0 |
60.0 - 110.0 |
60.0 - 110.0 |
60.0 - 120.0 |
60.0 - 120.0 |
Mean ± SD |
88.77 ± 17.61 |
80.13 ± 12.25 |
79.73 ± 13.10 |
78.93 ± 13.88 |
77.13 ± 13.08 |
STDS |
|
|
|
|
|
Range |
5.0 – 23.0 |
1.0 – 19.0 |
0.0 – 10.0 |
0.0 – 6.0 |
0.0 – 2.0 |
Mean ± SD |
14.83 ± 4.24 |
7.03 ± 4.35 |
1.83 ± 2.59 |
1.23 ± 1.45 |
0.67 ± 0.71 |
QRS max |
|
|
|
|
|
Range |
85.0–118.0 |
85.0 -118.0 |
85.0-118.0 |
85.0-118.0 |
85.0-118.0 |
Mean ± SD |
102.20±11.25 |
102.20±11.25 |
102.0±11.07 |
101.77±11.01 |
101.77±11.01 |
QRS min |
|
|
|
|
|
Range |
84.0 -117.0 |
84.0-117.0 |
84.0-117.0 |
84.0-117.0 |
84.0-117.0 |
Mean ± SD |
101.17±11.27 |
101.17±11.27 |
100.97±11.10 |
100.73±11.04 |
100.73±11.04 |
QTc |
|
|
|
|
|
Range |
0.40– 0.44sec |
0.40-0.44sec |
0.40 - 0.44sec |
0.40– 0.44sec |
0.40– 0.44sec |
Mean ± SD |
0.42 ± 0.01 |
0.42 ± 0.01 |
0.42 ± 0.01 |
0.42 ± 0.01 |
0.42 ± 0.01 |
Table (1): Descriptive analysis of studied cases according to ECG (n=30)
|
Echo |
|
|
on admission |
on third day |
EF |
|
|
Range |
24.0% – 62.0% |
24.0% – 62.0% |
Mean ± SD |
48.47 ± 10.10% |
49.27 ± 9.41% |
ESD |
|
|
Range |
2.40cm – 6.10cm |
2.40cm – 6.10cm |
Mean ± SD |
4.12 ± 0.91cm |
4.06 ± 0.89cm |
EDD |
|
|
Range |
4.0cm – 6.90cm |
4.0cm – 6.90cm |
Mean ± SD |
5.70 ± 0.75cm |
5.70 ± 0.76cm |
Valves |
|
|
No |
11 (36.7%) |
11 (36.7%) |
Mild MR |
12 (40.0%) |
12 (40.0%) |
Moderate MR |
6 (20.0%) |
6 (20.0%) |
Severe MR |
1 (3.3%) |
1 (3.3%) |
Left atrium |
|
|
Range |
34.0mm– 42.0mm |
34.0mm– 42.0mm |
Mean ± SD |
37.27 ± 2.0mm |
37.43 ± 1.79mm |
Table (2): Descriptive analysis of studied cases according to Echo (n=30)
|
|
Success |
|
|
|
No |
Yes |
QRS max |
Before thrombolysis |
|
|
Range |
88.0 – 118.0 |
85.0 – 118.0 |
|
Mean ± SD |
106.14 ± 10.52 |
98.75 ± 11.02 |
|
Before discharge |
|
|
|
Range |
88.0 – 118.0 |
85.0 – 116.0 |
|
Mean ± SD |
105.79 ± 10.64 |
98.25 ± 10.40 |
|
t (p) |
1.439 (0.174) |
2.236 (0.041) |
|
Table (3): Relation between the success of the thrombolysis and the change of the QRS max before thrombolysis and before discharge.
• t: Paired t-test • *: Statistically significant at p ≤ 0.05
|
|
QRS max before discharge |
r (p) |
|||||
|
|
<90 (n = 5) |
90-100(n = 17) |
>110 (n = 8) |
||||
Echo on the third day. |
EF |
|
|
|
|
|||
Range |
50.0 – 60.0 |
42.0 – 62.0 |
24.0 – 48.0 |
-0.702* (<0.001) |
||||
Mean ± SD |
56.60 ± 4.45 |
52.41 ± 6.64 |
38.0 ± 6.89 |
|||||
F (p) |
17.550* (<0.001) |
|
||||||
p1 |
|
0.212 |
<0.001* |
|
||||
p2 |
|
|
<0.001* |
|
||||
ESD |
|
|
|
|
||||
Range |
2.40 – 4.80 |
2.60 – 5.40 |
4.10 – 6.10 |
0.495* (0.005) |
||||
Mean ± SD |
3.68 ± 0.86 |
3.79 ± 0.77 |
4.88 ± 0.66 |
|||||
F (p) |
6.367* (0.005) |
|
||||||
p1 |
|
0.781 |
0.010* |
|
||||
p2 |
|
|
0.002* |
|
||||
EDD |
|
|
|
|
||||
Range |
4.0 – 6.40 |
4.30 – 6.90 |
5.50 – 6.80 |
0.379* (0.039) |
||||
Mean ± SD |
5.34 ± 0.90 |
5.59 ± 0.75 |
6.16 ± 0.50 |
|||||
F (p) |
2.458 (0.105) |
|
||||||
p1 |
|
0.494 |
0.055 |
|
||||
p2 |
|
|
0.077 |
|
||||
Valves |
No. |
% |
No. |
% |
No. |
% |
|
|
No |
3 |
60.0 |
7 |
41.2 |
1 |
12.5 |
MCp=0.111 |
|
Mild MR |
2 |
40.0 |
8 |
47.1 |
2 |
25.0 |
||
Moderate MR |
0 |
0.0 |
2 |
11.8 |
4 |
50.0 |
||
Severe MR |
0 |
0.0 |
0 |
0.0 |
1 |
12.5 |
||
Left atrium |
|
|
|
|
||||
Range |
36.0 – 40.0 |
35.0 – 40.0 |
34.0 – 42.0 |
0.129 |
||||
Mean ± SD |
37.80 ± 1.48 |
37.12 ± 1.36 |
37.88 ± 2.70 |
|||||
F (p) |
0.593 (0.560) |
|
||||||
p1 |
|
0.468 |
0.943 |
|
||||
p2 |
|
|
0.340 |
|
||||
Table (4): Relation of QRS max before discharge and Echo on the third day.
F: F test (ANOVA)
|
QRS max before thrombolysis |
MCp |
|||||
|
<90 (n = 5) |
90-110 |
>110 (n = 8) |
||||
|
No. |
% |
No. |
% |
No. |
% |
|
Arrhythmia |
0 |
0.0 |
3 |
17.6 |
7 |
87.5 |
0.001* |
Signs of HF |
0 |
0.0 |
5 |
29.4 |
8 |
100.0 |
<0.001* |
Shock |
0 |
0.0 |
0 |
0.0 |
2 |
25.0 |
0.093 |
Pulmonary edema |
0 |
0.0 |
0 |
0.0 |
4 |
50.0 |
0.003* |
Mortality |
0 |
0.0 |
0 |
0.0 |
2 |
25.0 |
0.084 |
Table (5): Relation between QRS max before thrombolysis and complications.
MCp: p for Monte Carlo test