2015年10月8日 · This loss of the S-wave is called terminal QRS distortion, and multiple studies suggest that, with an anterior MI, this predicts a larger infarct, with higher mortality, and even a worse response to fibrinolytics or PCI.

When the J-point rises to > 50% the R-wave height it is called “terminal QRS distortion”. This is highly suspicious of the acute STEMI (this holds especially true of Leads V5, V6; the exception again occurs if a J-wave is present).

Terminal QRS distortion reflects advanced stage and large myocardial infarction predisposing the heart to adverse outcomes. Recent studies suggest that terminal QRS distortion is associated with morbidity and mortality in ST elevation myocardial ...

2022年2月25日 · Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization. Lee. @smithECGBlog. The American Journal of Emergency Medicine;2016;34(11):2182-2185. Clinical Question. In patients with benign early repolarisation, is there the absence of terminal QRS distortion on the ECG? Background

In the following case series, we report a series of five cases that had subtle/early ECG features of ACS, namely (1) T-wave inversion (TWI) in lead aVL; (2) terminal QRS distortion; (3) hyperacute T-waves; (4) negative U-waves in precordial leads; and (5) loss of precordial T-wave balance.

2015年3月15日 · Terminal QRS distortion is an electrocardiographic (ECG) expression of severe ischemia in the setting of ST-segment elevation acute myocardial infarction (STEMI). We sought to evaluate the relationship between QRS distortion and area at risk (AAR), infarct size (IS), myocardial salvage and left ventricular ejection fraction (LVEF) evaluated ...

Terminal QRS distortion reflects large myocardial infarction predisposing the heart to adverse outcomes. Recent studies suggested that terminal QRS distortion in ST-elevate myocardial infarction (STEMI) is associated with incomplete ST resolution, indicating reperfusion failure.

2016年2月19日 · Terminal QRS distortion is defined as emergence of the J point ≥50% of the R wave in leads with QR-wave, or disappearance of the S wave in leads with an RS-wave. [19] In acute MI, terminal QRS distortion predicts greater size of infarct and higher mortality [20].

When the J-point rises to > 50% the R-wave height it is called “terminal QRS distortion”. This is highly suspicious of the acute STEMI (this holds especially true of Leads V5, V6; the exception again occurs if a J-wave is present).

Terminal QRS distortion (TQRSD), defined by the absence of both an S wave and J wave in either of leads V 2 or V 3, is often present in anterior ST-segment elevation myocardial infarction. We hypothesized that this finding would always be absent in ER.