Comparison of Selvester QRS score with magnetic resonance imaging measured infarct size in patients with ST elevation myocardial infarction

被引：20

作者：

Carlsen, Esben A. ^{[2
]}

Bang, Lia E. ^{[1
]}

Ahtarovski, Kiril A. ^{[1
]}

Engstrom, Thomas ^{[1
]}

Kober, Lars ^{[1
]}

Kelbaek, Henning ^{[1
]}

Vejlstrup, Niels ^{[1
]}

Jorgensen, Erik ^{[1
]}

Helqvist, Steffen ^{[1
]}

Saunamaki, Kari ^{[1
]}

Clemmensen, Peter ^{[1
]}

Holmvang, Lene ^{[1
]}

Wagner, Galen S. ^{[3
]}

Lonborg, Jacob ^{[1
]}

机构：

[1] Univ Copenhagen Hosp, Ctr Heart, Dept Cardiol, DK-2100 Copenhagen, Denmark

[2] Univ Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark

[3] Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2012年 / 45卷 / 04期

关键词：

Myocardial infarction; Electrocardiography; Selvester QRS score; Magnetic resonance imaging; QUANTITATIVE ANATOMIC FINDINGS; IRREVERSIBLE INJURY; SYSTEM; QUANTIFICATION; ENHANCEMENT;

D O I：

10.1016/j.jelectrocard.2012.03.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and Purpose: Recent studies have shown that the Selvester QRS score is significantly correlated with delayed enhancement-magnetic resonance imaging (DE-MRI) measured myocardial infarct (MI) size in reperfused ST elevation MI (STEM I). This study further tests the hypothesis that Selvester QRS score correlates well with MI size determined by DE-MRI in reperfused STEMI. Methods and Results: The relationship was evaluated retrospectively in 55 first-time STEM! patients 3 months after receiving primary percutaneous coronary intervention. Selvester QRS score and DE-MRI MI size were significantly correlated, r = 0.41 (P < .01). The difference between the Selvester QRS score and DE-MRI was 5.8% MI of the left ventricle (95% confidence interval, 2.9%-8.6%). Furthermore, increasing difference between Selvester QRS score and DE-MRI was observed with increasing MI size. Conclusion: Selvester QRS score correlated only moderately with DE-MRI MI size. Selvester QRS score overestimated MI size. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：414 / 419

页数：6

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