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Cardiology Research and Practice
Volume 2018 (2018), Article ID 2451581, 5 pages
https://doi.org/10.1155/2018/2451581
Research Article

Effect of Coronary Slow Flow on Intrinsicoid Deflection of QRS Complex

Department of Cardiology, Liv Hospital, Istinye University, Istanbul, Turkey

Correspondence should be addressed to Sabri Seyis; moc.oohay@siyesirbas

Received 30 October 2017; Accepted 3 January 2018; Published 1 February 2018

Academic Editor: Julian Bostock

Copyright © 2018 Sabri Seyis. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coronary slow flow is a rare, clinically important entity observed in acute coronary syndrome. The pathophysiological mechanism is not fully elucidated. We investigated patients with chest pain who had angiographic features consistent with the coronary slow flow. One hundred ten patients were included. Electrocardiography, echocardiography, and angiography results were retrospectively noted. The mean age was 56.4. Fifty-eight were male, and fifty-two were female. The control group consisted of patients with normal angiography. Patients had higher diastolic blood pressure, lower mean ejection fraction, higher average left ventricular end-diastolic diameter, and higher mean left atrial size than the control group (, resp.). Patients had higher average V1 ID, V6 ID, P wave dispersion, TFC LAD, TFC Cx, TFC RCA, and TFC levels than the control group. A significant linear positive relationship was found between the V1 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC; also between the V6 ID and the TFC LAD, TFC Cx, TFC RCA, and TFC. Angiographic and electrocardiographic features are suggestive and diagnostic for the coronary slow flow syndrome. Although when regarded as a benign condition, coronary slow flow should be diagnosed, followed up, and treated as many of laboratory features suggest ischemic events.