RELATIONSHIP BETWEEN FRONTAL QRS-T ANGLE AND MYOCARDIAL PERFUSION DEFECT (MPD) FROM SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT) IN PATIENTS WITH PRIOR MYOCARDIAL INFARCTION

Abstract

Background: The frontal QRS-T angle is the angle between ventricular depolarization and repolarization. The QRS-T angle abnormalities will mirror the electrical instability, placing the patient in high risk of cardiac arrhythmia and sudden cardiac death. This study was conducted to analyzed as if the QRS-T angle will predict the myocardial perfusion defect in acute ST elevation myocardial infarction (STEMI).
 
 Methods: This is a cross sectional study which conducted in patients with previous history of STEMI in H. Adam Malik General Hospital Medan from June 2018 until March 2020. The patients will then be undergoing electrocardiography (ECG) and myocardial perfusion scintigraphy (SPECT) to acquire the frontal QRS-T angle and myocardial perfusion defect score.
 
 Results: Over 40 patients with prior STEMI we found the frontal QRS-T angle has a positive moderate correlation (r = 0,543; p < 0,001) with myocardial perfusion defect. The best cut-off value for frontal QRS-T angle to predict myocardial perfusion defect is > 70o with sensitivity and specificity of 70.6% and 82.6%, respectively.
 
 Conclusions: The frontal QRS-T angle is an independent predictor for myocardial perfusion defect in patient with previous history of STEMI.
 
 Keywords: STEMI; frontal QRS-T angle; myocardial perfusion defect.