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Luzza F, De Sarro R, Licordari R, Crea P, Pugliatti P, Certo G, Pistelli L, Campanella F, Lo Nigro MC, Casale M, Correale M, Dattilo G. Atrial fibrillation and QT corrected. What is the best formula to use? Eur J Clin Invest 2023; 53:e14013. [PMID: 37144525 DOI: 10.1111/eci.14013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 04/15/2023] [Accepted: 04/27/2023] [Indexed: 05/06/2023]
Abstract
BACKGROUND QT interval varies with the heart rate (HR), so a correction in QT calculation is needed (QTc). Atrial fibrillation (AF) is associated with elevated HR and beat-to-beat variation. AIM To find best correlation between QTc in atrial fibrillation (AF) versus restored sinus rhytm (SR) after electrical cardioversion (ECV) (primary end point) and to determine which correction formula and method are the best to determine QTc in AF (secondary end point). METHODS During a 3-month period, we considered patients who underwent 12-lead ECG recording and received an AF diagnosis with indication for ECV. Exclusion criteria were as follows: QRS duration >120 ms, therapy with QT-prolonging drugs, a rate control strategy and a nonelectrical cardioversion. The QT interval was corrected using Bazzett's, Framingham, Fridericia and Hodges formulas during the last ECG during AF and the first one immediately after ECV. QTc mean was calculated as mQTc (average of 10 QTc calculated beat per beat) and as QTcM (QTc calculated from the average of 10 raw QT and RR for each beat). RESULTS Fifty consecutive patients were enrolled in the study. Bazett's formula showed a significant change in mean QTc value between the two rhythms (421.5 ± 33.9 vs. 446.1 ± 31.9; p < 0.001 for mQTc and 420.9 ± 34.1 vs. 441.8 ± 30.9; p = 0.003 for QTcM). On the contrary, in patients with SR, QTc assessed by the Framingham, Fridericia, and Hodges formulas was similar to that in AF. Furthermore, good correlations between mQTc and QTcM are present for each formula, even in AF or SR. CONCLUSIONS During AF, Bazzett's formula, seems to be the most imprecise in QTc estimation.
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Affiliation(s)
- Francesco Luzza
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Rosalba De Sarro
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Roberto Licordari
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Pasquale Crea
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Pietro Pugliatti
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Giuseppe Certo
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Lorenzo Pistelli
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Francesca Campanella
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | | | - Matteo Casale
- Operative Unit of ICCU and Cardiology, Hospital "S. Maria della Misericordia", Urbino, Italy
| | - Michele Correale
- Cardiothoracic Department, Policlinico Riuniti University Hospital, Foggia, Italy
| | - Giuseppe Dattilo
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Cardiology, University of Messina, Messina, Italy
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Tako-tsubo syndrome and atrial fibrillation. New trigger for cardiomyopathy. A clinical case. COR ET VASA 2022. [DOI: 10.33678/cor.2021.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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3
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Ioppolo A, Morabito C, D'Amico G, Taormina A, Sorace E, Dattilo G. Cardiobacterium hominis and endocarditis. Rare but important clinical relevance. COR ET VASA 2018. [DOI: 10.1016/j.crvasa.2017.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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4
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Scarano M, Gizzi G, Mastrodicasa D, Mantini C. Cardiac implantable electronic devices and chemotherapy: A risky combination. COR ET VASA 2018. [DOI: 10.1016/j.crvasa.2017.11.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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5
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Anticoagulant therapy: Is there always a best choice? Int J Cardiol 2016; 215:291-2. [DOI: 10.1016/j.ijcard.2016.04.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 04/13/2016] [Indexed: 11/18/2022]
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6
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Pizzi G, Cotruzzola AM, Battaglia V. Thrombophilias and new oral anticoagulants, a safe alternative to warfarin? Int J Cardiol 2016; 220:569-70. [PMID: 27390989 DOI: 10.1016/j.ijcard.2016.06.299] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2016] [Accepted: 06/28/2016] [Indexed: 11/24/2022]
Affiliation(s)
- G Pizzi
- Division of Anesthesiology and Intensive Care, Hospital "Madonna della Consolazione", Reggio Calabria, Italy.
| | | | - V Battaglia
- Division of Anesthesiology and Intensive Care, Hospital "Madonna della Consolazione", Reggio Calabria, Italy
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7
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Messina F, Romano P, Crosca S. Atrial myxomas and different clinical presentations. Int J Cardiol 2016; 203:1136-7. [PMID: 26442965 DOI: 10.1016/j.ijcard.2015.08.063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 08/04/2015] [Indexed: 11/17/2022]
Affiliation(s)
- F Messina
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - P Romano
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - S Crosca
- Internal Medicine Unit, Hospital of Lipari, ASP 5, Messina, Italy.
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8
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Romano P, Messina F, Crosca S. Oral anticoagulant therapy and thrombosis. A case of failure of therapy with vitamin K antagonists. Int J Cardiol 2016; 203:1158-9. [PMID: 26608008 DOI: 10.1016/j.ijcard.2015.06.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 06/30/2015] [Indexed: 11/30/2022]
Affiliation(s)
- P Romano
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - F Messina
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - S Crosca
- Internal Medicine Unit, Hospital of Lipari, ASP 5, Messina, Italy.
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9
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Crosca S, Parato VM, Genovesi E, Cicchitti V, Messina F, Scarano M. Rare cardiac involvement in adrenal carcinoma. Int J Cardiol 2015; 201:262-4. [PMID: 26301653 DOI: 10.1016/j.ijcard.2015.08.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2015] [Accepted: 08/04/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Sergio Crosca
- Internal Medicine Unit, Hospital of Lipari, ASP 5, Messina, Italy.
| | - Vito Maurizio Parato
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Eugenio Genovesi
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Vincenzo Cicchitti
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Francesco Messina
- Diagnostic Radiology Unit, Hospital of Locri, Reggio Calabria, Italy
| | - Michele Scarano
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
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10
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Parato VM, Scarano M. An unusual case of left ventricle noncompaction. Int J Cardiol 2015; 201:243-4. [DOI: 10.1016/j.ijcard.2015.08.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 08/06/2015] [Indexed: 10/23/2022]
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11
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Parato VM, Scarano M, Cicchitti V, Cannavà G, Currò A. Involvement of the right ventricle in hypertrophic cardiomyopathy and occurrence of right bundle branch block. Int J Cardiol 2015; 202:75-6. [PMID: 26386927 DOI: 10.1016/j.ijcard.2015.08.121] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Accepted: 08/13/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Vito Maurizio Parato
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Michele Scarano
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Vincenzo Cicchitti
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Gaetano Cannavà
- Cardiac Intensive Care, Piemonte-Papardo Hospital, Messina, Italy
| | - Alessio Currò
- Cardiac Intensive Care, Piemonte-Papardo Hospital, Messina, Italy.
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12
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Parato M, Pierri M, Torraca L, Scarano M. A giant myxoma of the left atrium involving the entirety of fossa ovalis: Clinical course, diagnosis and treatment. Int J Cardiol 2015; 186:35-6. [PMID: 25804463 DOI: 10.1016/j.ijcard.2015.03.216] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Accepted: 03/17/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Maurizio Parato
- Cardiology Unit, Emergency Dept, Hospital "Madonna del Soccorso", San Benedetto del Tronto, Italy
| | - Michele Pierri
- Cardiac Surgery Unit, Lancisi University Hospital, Ancona, Italy
| | - Lucia Torraca
- Cardiac Surgery Unit, Lancisi University Hospital, Ancona, Italy
| | - Michele Scarano
- Cardiac Surgery Unit, Lancisi University Hospital, Ancona, Italy.
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13
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Giugno V, Messina F, Crosca S. Treatment failure of low molecular weight heparin bridging therapy after implantation of a permanent pacemaker. Int J Cardiol 2014; 173:e23-4. [DOI: 10.1016/j.ijcard.2014.01.094] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 01/18/2014] [Indexed: 10/25/2022]
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Scarano M, Parato VM, Labanti B, Imbalzano E. Stress status and ventricular fibrillation in long QT syndrome. Int J Cardiol 2014; 172:e438-40. [PMID: 24447737 DOI: 10.1016/j.ijcard.2013.12.165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2013] [Accepted: 12/30/2013] [Indexed: 12/23/2022]
Affiliation(s)
- M Scarano
- Cardiology Unit, Emergency Dept, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
| | - V M Parato
- Cardiology Unit, Emergency Dept, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
| | - B Labanti
- Cardiology Unit, Emergency Dept, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
| | - E Imbalzano
- Departement of Internal Medicine, University of Messina, Italy.
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15
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Imbalzano E, Ceravolo R, Di Stefano R, Vatrano M, Saitta A. Treatment failure of low molecular weight heparin bridging therapy in atrial fibrillation after acute coronary syndrome. Int J Cardiol 2014; 171:289-91. [DOI: 10.1016/j.ijcard.2013.11.079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Accepted: 11/23/2013] [Indexed: 12/19/2022]
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16
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Imbalzano E, Di Bella G, Casale M, Boretti I, Manganaro R, Lamari A, Dattilo G. Angina pectoris: first manifestation of a left atrial myxoma. Int J Cardiol 2014; 172:e165-6. [PMID: 24411919 DOI: 10.1016/j.ijcard.2013.12.059] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Accepted: 12/22/2013] [Indexed: 11/25/2022]
Affiliation(s)
- E Imbalzano
- Department of Internal Medicine, University of Messina, Italy
| | - G Di Bella
- Department of Clinical and Experimental Medicine, University of Messina, Italy
| | - M Casale
- Department of Clinical and Experimental Medicine, University of Messina, Italy
| | - I Boretti
- Department of Clinical and Experimental Medicine, University of Messina, Italy
| | - R Manganaro
- Department of Clinical and Experimental Medicine, University of Messina, Italy
| | - A Lamari
- U.O. of UTIC and Cardiology, Hospital of Urbino, ASUR 1 Marche, Italy
| | - G Dattilo
- Department of Clinical and Experimental Medicine, University of Messina, Italy.
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17
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Renal denervation and hypertension resistant drug treatment in patient with renal artery accessory. Int J Cardiol 2014; 171:e8-9. [DOI: 10.1016/j.ijcard.2013.11.060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 11/25/2013] [Indexed: 01/25/2023]
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18
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Treatment failure of low molecular weight heparin in post-surgery orthopedic case. Int J Cardiol 2013; 169:e36-7. [DOI: 10.1016/j.ijcard.2013.08.109] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2013] [Accepted: 08/29/2013] [Indexed: 11/20/2022]
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19
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Tulino V, Cacace C, Tulino D, Imbalzano E, Dattilo G. Clinical variants in Ebstein's anomaly. Int J Cardiol 2013; 168:4969-70. [DOI: 10.1016/j.ijcard.2013.07.138] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2013] [Accepted: 07/13/2013] [Indexed: 11/25/2022]
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20
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Tulino D, Imbalzano E, Casale M, D'Angelo M, Coglitore S, Di Bella G, Dattilo G. Treatment failure of low molecular weight heparin in diabetic patient. Int J Cardiol 2013; 168:e63-4. [DOI: 10.1016/j.ijcard.2013.07.064] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2013] [Accepted: 07/03/2013] [Indexed: 11/27/2022]
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21
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Imbalzano E, Trapani G, Creazzo M, Lizio G, Saitta A. Coronary artery disease in radiotherapy. Int J Cardiol 2013; 168:e125-6. [PMID: 23993725 DOI: 10.1016/j.ijcard.2013.08.037] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2013] [Accepted: 08/03/2013] [Indexed: 02/08/2023]
Affiliation(s)
- E Imbalzano
- Department of Internal Medicine and Medical Therapy, University of Messina, Italy.
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22
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Dattilo G, Lamari A, Di Bella G, Scarano M, De Luca E, Mutone D, Busacca P, Coglitore S. Treatment failure of low molecular weight heparin bridging therapy. Int J Cardiol 2013; 167:e106-7. [DOI: 10.1016/j.ijcard.2013.03.183] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 03/31/2013] [Indexed: 12/19/2022]
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23
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Patanè S, Sturiale M, Marte F, Rizzo C, Buonamonte S. Right bundle branch block with changing axis at the end of atrial fibrillation. Int J Cardiol 2012; 157:e1-2. [DOI: 10.1016/j.ijcard.2010.09.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2010] [Accepted: 09/26/2010] [Indexed: 10/18/2022]
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24
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Patan S, Marte F, Sturiale M. Left bundle branch block with changing axis deviation. Int J Cardiol 2012; 156:e25-7. [DOI: 10.1016/j.ijcard.2010.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2009] [Accepted: 01/07/2010] [Indexed: 10/19/2022]
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25
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Patanè S, Marte F, Sturiale M. Left bundle branch block and changing axis deviation during acute myocardial infarction. Int J Cardiol 2012; 155:e39-41. [DOI: 10.1016/j.ijcard.2009.12.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2009] [Accepted: 12/04/2009] [Indexed: 11/16/2022]
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26
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Patan S, Marte F, Sturiale M. Revelation of changing axis deviation at the end of atrial fibrillation without acute myocardial infarction. Int J Cardiol 2012; 155:e19-21. [DOI: 10.1016/j.ijcard.2009.10.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2009] [Accepted: 10/17/2009] [Indexed: 11/28/2022]
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27
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Patan S, Marte F, Sturiale M. Revelation of changing axis deviation at the end of atrial fibrillation associated with endogenous subclinical hyperthyroidism. Int J Cardiol 2012; 155:e1-4. [DOI: 10.1016/j.ijcard.2009.10.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2009] [Accepted: 10/13/2009] [Indexed: 10/20/2022]
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28
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Patan S, Marte F, Dattilo G, Sturiale M. Acute myocardial infarction and left bundle branch block with changing axis deviation. Int J Cardiol 2012; 154:e47-9. [DOI: 10.1016/j.ijcard.2009.03.128] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2009] [Accepted: 03/29/2009] [Indexed: 10/20/2022]
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29
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Right bundle branch block with revelation of changing axis deviation at the end of atrial fibrillation. Int J Cardiol 2009; 137:e54-6. [DOI: 10.1016/j.ijcard.2009.04.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2009] [Accepted: 04/11/2009] [Indexed: 11/23/2022]
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