Journal of Electrocardiology
Volume 42, Issue 2 , Pages 145-151 , March 2009

EASI-Derived vs standard 12-lead electrocardiogram for Selvester QRS score estimations of chronic myocardial infarct size, using cardiac magnetic resonance imaging as gold standard

  • Annika E. Welinder, MD

      Affiliations

    • Department of Clinical Physiology, University Hospital, Lund, Sweden
    • Corresponding Author InformationCorresponding author. Department of Clinical Physiology, Lund University Hospital, SE-221 85 Lund, Sweden. Tel.: +46 46 17 33 07; fax: +46 46 15 17 69.
    • ,
  • Galen S. Wagner, MD

      Affiliations

    • Duke University Medical Center, Durham, NC
    • ,
  • B. Milan Horáček, PhD

      Affiliations

    • Faculty of Medicine of Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Thomas N. Martin, MD

      Affiliations

    • Department of Cardiology, Western Infirmary, Glasgow, Scotland, UK
    • ,
  • Charles Maynard, PhD

      Affiliations

    • Department of Health Services, University of Washington, Seattle, WA
    • ,
  • Olle Pahlm, MD, PhD

      Affiliations

    • Department of Clinical Physiology, University Hospital, Lund, Sweden

Received 4 September 2008

References 

  1. Wagner GS, Greenfield JC, Rembert JC, et al. Comparison of the Selvester QRS scoring system applied on standard versus high-resolution electrocardiographic recordings. J Electrocardiol. 2007;40:288;[electronic publication 2007 Feb 5]
  2. Dower GE, Yakush A, Nazzal SB, Jutzy RV, Ruiz CE. Deriving the 12-lead electrocardiogram from four (EASI) electrodes. J Electrocardiol. 1988;21:S182
  3. Drew BJ, Pelter MM, Wung SF, Adams MG, Taylor C, Evans T. Accuracy of the EASI 12-lead electrocardiogram compared to the standard 12-lead cardiogram for diagnosing multiple cardiac abnormalities. J Electrocardiol. 1999;32(Suppl):1
  4. Klein MD, Key-Brothers I, Feldman CL. Can the vectorcardiographically derived EASI ECG be a suitable surrogate for the standard ECG in selected circumstances. Comput Cardiol. 1997;24:721
  5. Denes P. The importance of derived 12-lead electrocardiography in the interpretation of arrhythmias detected by Holter monitoring. Am Heart J. 1992;124:905
  6. Drew BJ, Scheinman MM, Evans T. Comparison of a vectorcardiographically derived 12-lead electrocardiogram with the standard electrocardiogram during wide complex tachycardia and its potential application for continuous bedside monitoring. Am J Cardiol. 1992;69:612
  7. Drew BJ, Adams MG, Pelter MM, Wung SF, Caldwell MA. Comparison of standard and derived 12-lead electrocardiograms for diagnosis of coronary angioplasty-induced myocardial ischemia. Am J Cardiol. 1997;78:639
  8. Feldman CL, MacCallum G, Hartley LH. Comparison of the standard ECG with the EASI cardiogram for ischemia detection during exercise monitoring. Comput Cardiol. 1997;24:343
  9. Welinder A, Sörnmo L, Feild DQ, et al. Comparison of signal quality between EASI and Mason-Likar 12-lead electrocardiograms during physical activity. Am J Crit Care. 2004;13:228
  10. Selvester RH, Wagner GS, Hindman NB. The Selvester QRS scoring system for estimating myocardial infarct size. The development and application of the system. Arch Intern Med. 1985;145:1877
  11. Ideker RE, Wagner GS, Ruth WK, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size: II. Correlation with quantitative anatomic findings for anterior infarcts. Am J Cardiol. 1982;49:1604
  12. Roark SF, Ideker RE, Wagner GS, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size: III. Correlation with quantitative anatomic findings for inferior infarcts. Am J Cardiol. 1983;51:382
  13. Ward RM, White RD, Ideker RE, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size: IV. Correlation with quantitative anatomic findings for posterolateral infarcts. Am J Cardiol. 1984;53:706
  14. Sevilla DC, Wagner NB, Pegues R, et al. Correlation of the complete version of the Selvester QRS scoring system with quantitative anatomic findings for multiple left ventricular myocardial infarcts. Am J Cardiol. 1992;69:465
  15. Martin TN, Groenning BA, Murray HM, et al. ST-Segment deviation analysis of the admission 12-lead electrocardiogram as an aid to early diagnosis of acute myocardial infarction with a cardiac magnetic resonance imaging gold standard. J Am Coll Cardiol. 2007;50:1021
  16. Horáček BM, Warren JW, Penney CJ, et al. Optimal electrocardiographic leads for detecting acute myocardial ischemia. J Electrocardiol. 2001;34(Suppl):97
  17. Horáček BM, Warren JW, Albano A, et al. Development of an automated Selvester Scoring System for estimating the size of myocardial infarction from the electrocardiogram. J Electrocardiol. 2006;39:162
  18. Feild DQ, Feldman CL, Horáček BM. Improved EASI coefficients: their derivation, values, and performance. J Electrocardiol. 2002;35(Suppl):23
  19. Kim RJ, Wu E, Rafael A, et al. The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med. 2000;343:1445
  20. Simonetti OP, Kim RJ, Fieno DS, et al. An improved MR imaging technique for the visualization of myocardial infarction. Radiology. 2001;218:215
  21. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307
  22. Engblom H, Arheden H, Foster JE, Martin TN. Myocardial infarct quantification: Is magnetic resonance imaging ready to serve as gold standard for electrocardiology?. J Electrocardiol. 2007;40:243;[review]

☆ This study was supported in part by the Region of Scania, Kristianstad, Sweden.

PII: S0022-0736(08)00441-X

doi: 10.1016/j.jelectrocard.2008.10.010

Journal of Electrocardiology
Volume 42, Issue 2 , Pages 145-151 , March 2009

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