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
(0.496)

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
(n = 17)

>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