Q waves were associated with lower odds of Thrombolysis in Myocardial Infarction [ TIMI ] flow grade 2 to 3 ( ORadj : 0.78 , P = 0.028 ) , TIMI myocardial perfusion grade 3 ( ORadj : 0.83 , P = 0.029 ) , and complete STRes at 90minutes ( ORadj : 0.80 , P = 0.030 ) .