Comparison of the various electrocardiographic scoring codes for estimating anatomically documented sizes of single and multiple infarcts of the left ventricle

The American Journal of Cardiology
U S PahlmG S Wagner

Abstract

It is clinically important to estimate the size of a myocardial infarction (MI) to predict patient prognosis, to determine the ability of a therapy to limit its size, and to evaluate its effect on left ventricular function. Various electrocardiographic methods have been used for these purposes but their accuracies have not been compared with each other using an identical reference population of anatomically measured infarcts. The capability of 4 electrocardiographic scoring methods (the Selvester score, the Minnesota code, the Novacode, and the Cardiac Infarction Injury Score) to estimate MI size was compared using anatomic MI size in a group of 100 deceased patients. All patients had a standard 12-lead electrocardiogram of sufficient quality to perform manual waveform measurements and without confounding factors such as ventricular hypertrophy, fascicular block, or bundle branch block. The location and size of the left ventricular infarction was measured postmortem using the anatomic method of Ideker et al. All methods' size estimates correlated best with anatomic MI size in the anterior location (r = 0.65 to 0.89). The Selvester score was superior in estimating the sizes of inferior (r = 0.70) and posterolateral (r = 0.74) in...Continue Reading

References

Apr 1, 1978·Circulation·R E IdekerD B Hackel
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Jan 1, 1988·Journal of the American College of Cardiology·E P BounousG S Wagner
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Citations

Aug 23, 2011·Medicine and Science in Sports and Exercise·Lindsey E MillerJohn C Quindry
May 23, 2008·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Zarko Vucinić
Apr 29, 2015·International Journal of Cardiology·Nigel S TanUNKNOWN GRACE ECG substudy and Canadian ACS I Registry investigators
Oct 7, 2009·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Daniël A GeerseJulie M Miller
Jun 5, 2010·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Tetsuya KatsunoMitsuaki Isobe
Jan 10, 2002·The American Journal of Cardiology·Galen S WagnerRonald H Selvester
May 3, 2005·American Heart Journal·Kelly RichardsonVictor F Froelicher
Sep 23, 2014·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Minna M KylmäläLauri Toivonen
Nov 27, 2007·Journal of the American College of Cardiology·Kristian ThygesenUNKNOWN Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction
Jun 12, 2004·Current Problems in Cardiology·Gregory EngelPaul J Wang
Oct 24, 2007·Circulation·Kristian ThygesenNawwar Al-Attar
Sep 13, 2008·Current Opinion in Critical Care·Kristian ThygesenHarvey D White
Feb 7, 2021·Open Heart·Christina TillerSebastian Johannes Reinstadler

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