Connected Aircraft Squadron Electrocardiographic Sign (Yasser Sign); An Index for Tachypnea in Specific T-Wave Abnormalities- A New Diagnostic, Therapeutic, and Prognostic Sign; Retrospective-Observational Study Volume 1 - Issue 3

Yasser Mohammed Hassanain Elsayed*

• Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Egypt

Received: January 06, 2020   Published: January 17, 2020

Corresponding author: Yasser Mohammed Hassanain Elsayed, Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

 

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Abstract

Background: Tachypnea is a well-known clinical symptom. Specific electrocardiographic T-wave changes during tachypnea are a crucial point in the decision. The new sign is a constellation of the T- waves changes in special leads. There are three types were prescribed. The types have classified either base on an interaction between lead I and II, or aVL and aVR or V1 and V2. Hyperventilation syndrome, left bundle branch block, left ventricular strain, and Wolff-Parkinson-White syndrome was common inducers.

Method of study and patients: My case study was an observational retrospective 24-case report series. The study was conducted in both Fraskour Central Hospital (Intensive Care Unit) and Physician Outpatient Clinic. The author reported the 24-cases thorough nearly 4 years, started from December 24, 2015, and, ended on November 30, 2019.

Results: The Mean age was: 63 years, with female sex predominance (62.5%). Hypertension with left bundle branch block (37.5%), hypertension with ischemic heart disease (12.5%), hyperventilation syndrome (8.33%), Wolff-Parkinson-White syndrome with hyperventilation syndrome (8.33%), cerebrovascular accident (8.33%), and right bundle branch block (8.33%) are the most common risk factors. The average for respiratory rate (bpm): (Range 20-55, Mean 31.625, Median 30, and Mode 26). An either third (33.33%) or fourth degree (25%) represent the complete sign: if it includes. Type I was the commonest (75%). Variable course outcome was reported; progressive (29.17%), regressive (25%), intermittent (8.33%), and fixed (37.5%). Conclusions: Connected aircraft squadron electrocardiographic sign is a new strong index for monitoring and follows up the tachypneic patients with specific T- waves changes in special leads in several cardiorespiratory patients.

Keywords: Connected aircraft squadron electrocardiographic Sign; Yasser sign; Tachypnea; Specific T-wave abnormalities; Index for tachypnea; Hyperventilation

Abbreviations: ABG: Arterial blood gases; AMI: Acute myocardial infarction; BA: Bronchial asthma Congestive heart failure: CHF; CO2: Carbon dioxide; COPD: Chronic obstructive pulmonary disease; CXR: Chest X-ray; DKA: Diabetic ketoacidosis; ECG: Electrocardiograph; ED: Emergency Department; HVS: Hyperventilation syndrome; ICU: Intensive care unit; IHD: ischemic heart disease; IV: Intravenous; LBBB: Left bundle branch block; LVH: Left ventricular hypertrophy; MA: Metabolic acidosis; NSTEMI: Non- ST-elevation myocardial infarction; O2: Oxygen; PE: Pulmonary embolism; POC: Physician outpatient clinic; RBBB: Right bundle branch block; RBS: Random blood sugar; RR: Respiratory rate; SCD: Sudden cardiac deaths; TCT: Thoracic CT; VQ scan: Ventilationperfusion scan.

Abstract| Introduction| T-wave| Methods of study and patients| Results, Findings, and Discussion| Conclusion and Recommendations| Acknowledgment| Conflicts of Interest| References|