Akram Shariati - Department of Cardiology, School of Medicine , Urmia University of Medical Sciences, Urmia, Iran
Hossein Aghayi Yamchi - Department of Cardiology, School of Medicine , Urmia University of Medical Sciences, Urmia, Iran
Mohammadreza Dehghani - Department of Cardiology, Seyyed ol Shohada heart center, Urmia University of Medical Sciences, Urmia, Iran

Objectives: Coronary heart disease (CHD) is the leading significant cause of mortality worldwide. Previous studies have shown that the presence of fragmented QRS (fQRS) in the electrocardiogram (ECG) can be associated with scars in myocardial tissue. This topic seems specific and focused on a particular aspect of cardiology research. It may be of interest to researchers and clinicians in the field of cardiology. This study aimed to investigate the effects of fQRS on diastolic parameters using Tissue Doppler Imaging (TDI) in patients with acute coronary syndrome (ACS) and normal systolic function.Methods: In this periodic-analytical study, ۱۰۰ patients (۵۰ with fQRS in superficial ECG and ۵۰ without fQRS) were evaluated by the diagnosis of ACS and ejection fraction (EF) value of over ۵۰ in Seyed al-Shohada Hospital during ۲۰۲۰-۲۰۲۱. The diastolic parameters between these two groups were compared using the Tissue Doppler method.Results: A total of ۱۰۰ patients were studied, of which in the first group, ۲۶ (۵۲%) were male and ۲۴ (۴۸%) were female. Also, in the non-fQRS group, ۲۵ (۵۰%) were male, and ۲۵ (۵۰%) were female. The mean age scores for fQRS and non-fQRS groups were ۵.۱۰±۶.۵۸ and ۴.۱۰±۳.۵۷ years, respectively. TDI was not significantly different in both groups, yet the mean Tissue Tei Index was less in the non-fQRS group (۰.۶±۰.۱۵ vs. ۰.۵۵±۰.۱۱, p=۰ >۰۰۵).Conclusions: The results revealed no significant relationship between Tissue Doppler Indicators in the groups with and without fQRS.

Acute coronary syndrome, Left Ventricular Dysfunctions, fQRS Wave, Tissue Doppler, Tei Index