Journal of Electrocardiology
Volume 42, Issue 2 , Pages 139-144 , March 2009

Comparison of the correlation of the Selvester QRS scoring system with cardiac contrast-enhanced magnetic resonance imaging–measured acute myocardial infarct size in patients with and without thrombolytic therapy

  • Walther C.M. Rovers, MD

      Affiliations

    • Department of Cardiology, University Hospital Maastricht, 6229 HX Maastricht, The Netherlands
    • Corresponding Author InformationCorresponding author. 4904 XM Oosterhout, The Netherlands. Tel.: +31 647684801.
    • ,
  • Marit C. van Boreen, MD

      Affiliations

    • Department of Cardiology, University Hospital Maastricht, 6229 HX Maastricht, The Netherlands
    • ,
  • Madeleine Robinson, MD

      Affiliations

    • Department of Cardiology, Glasgow University Hospital, Western Infirmary, G11 6NT Glasgow, United Kingdom
    • ,
  • Thomas N. Martin, MD

      Affiliations

    • Department of Cardiology, Glasgow University Hospital, Western Infirmary, G11 6NT Glasgow, United Kingdom
    • ,
  • Charles Maynard, PhD

      Affiliations

    • Department of Health Services, University of Washington, Seattle, WA 98101, USA
    • ,
  • Galen S. Wagner, MD

      Affiliations

    • Duke University Medical Center, Durham, NC 27705, USA
    • ,
  • Anton P.M. Gorgels, MD

      Affiliations

    • Department of Cardiology, University Hospital Maastricht, 6229 HX Maastricht, The Netherlands

Received 17 August 2007

References 

  1. Heiberg E, Ugander M, Engblom H, et al. Automated quantification of myocardial infarction from MR images by accounting for partial volume effects: animal, phantom, and human study. Radiology. 2008;246:581
  2. Choi K, Kim R, Gubernikoff G, Vargas J, Parker M, Judd R. Transmural extent of acute myocardial infarction predicts long-term improvement in contractile function. Circulation. 2001;104:1101
  3. Engblom H, Arheden H, Foster JE, Martin TN. Myocardial infarct quantification: is magnetic resonance imaging ready to serve as a gold standard for electrocardiography?. JECG. 2007;40:243
  4. Pahlm US, Chaitman BR, Rautaharju PM, Selvester RH, Tamesis BR, Wagner GS. Comparison of the various electrocardiographic scoring codes for estimating anatomically documented sizes of single and multiple infarcts of the left ventricle. AJC. 1998;81:809
  5. 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
  6. 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
  7. 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
  8. 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
  9. Gettes LS. The status of the standards. J Electrocardiol. 2009;42:xxx
  10. Hinohara T, Hindman NB, White RD, Ideker RE, Wagner GS. Quantitative QRS criteria for diagnosing and sizing myocardial infarcts. (edit) Am J Cardiol. 1984;53:875
  11. Wagner GS, Freye CJ, Palmeri ST, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size. I. Specificity and observer agreement. Circulation. 1982;65:342
  12. Babbitt D, Marcus F, Wagner GS, Serokman R. Comparison of a QRS scoring system for estimating acute infarct size with radionuclide left ventriculography. Am Heart J. 1984;108:1426
  13. 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. JECG. 2006;29:162
  14. Alpert JS, Thygesen K, Antman E, Bassand JP. Myocardial infarction redefined—a consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. JACC. 2000;36:959
  15. Macfarlane P. Appendix 1: normal limits. In:  Macfarlane P,  Lawrie T editor. Comprehensive electrocardiology. 1st ed. New York: Pergamont Press; 1989;p. 1442
  16. Perron A, Lim T, Pahlm-Webb U, Wagner GS, Pahlm O. Maximal increase in sensitivity with minimal loss of specificity for diagnosis of acute coronary occlusion achieved by sequentially adding leads from the 24-lead electrocardiogram to the orderly sequenced 12-lead electrocardiogram. JECG. 2007;40:463
  17. 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. JACC. 2007;50:1021
  18. Bayés de Luna A, Wagner G, Birnbaum Y, et al. A new terminology for left ventricular walls and location of myocardial infarcts that present Q wave based on the standard of cardiac magnetic resonance imaging: a statement for healthcare professionals from a committee appointed by the International Society for Holter and Noninvasive Electrocardiography. Circ. 2006;114:1755
  19. Engblom H, Hedström E, Heiberg E, Wagner GS, Pahlm O, Arheden H. Size and transmural extent of first-time reperfused myocardial infarction assessed by cardiac magnetic resonance can be estimated by 12-lead ECG. AHJ. 2005;150:920.e1
  20. Fieno DS, Kim RJ, Chen EL, et al. Contrast-enhanced magnetic resonance imaging of myocardium at risk: distinction between reversible and irreversible injury throughout infarct healing. J Am Coll Cardiol. 2000;36:1985
  21. Engblom H, Wagner GS, Setser RM, et al. Development and validation of techniques for quantitative clinical assessment of myocardial infarction in vivo by ECG and MRI. JECG. 2002;35(Suppl):203
  22. Kim RJ, Ficno DS, Parrish TB, et al. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation. 1999;100:1992
  23. Gibbons RJ, Valeti US, Araoz PA, Jaffe AS. The quantification of infarct size. JACC. 2004;44:1533
  24. Peterson SE, Mohrs OK, Horstick G, et al. Influence of contrast agent dose and image acquisition timing on the quantitative determination of nonviable myocardial tissue using delayed contrast-enhanced magnetic resonance imaging. J Cardiovasc Magn Reson. 2004;6:541
  25. Wagner A, Mahrholdt H, Thomson L, et al. Effects of time, dose, and inversion time for acute myocardial infarct size measurements based on magnetic resonance imaging-delayed contrast enhancement. JACC. 2006;47:2027
  26. Oshinski JN, Yang Z, Jones JR, Mata JF, French BA. Imaging time after Gd-DTPA injection is critical in using delayed enhancement to determine infarct size accurately with magnetic resonance imaging. Circulation. 2001;104:2838
  27. Hedstrom E, Arheden H, Eriksson R, Johansson L, Ahlstrom H, Bjerner T. Importance of perfusion in myocardial viability studies using delayed contrast-enhanced magnetic resonance imaging. J Magn Reson Imaging. 2006;24:77
  28. Bang LE, Ripa RS, Grande P, Kastrup J, Clemmensen PM, Wagner GS. Comparison of infarct size changes with delayed contrast-enhanced magnetic resonance imaging and electrocardiogram QRS scoring during the 6 months after acutely reperfused myocardial infarction. J Electrocardiol. 2008;41:609

PII: S0022-0736(08)00492-5

doi: 10.1016/j.jelectrocard.2008.12.004

Journal of Electrocardiology
Volume 42, Issue 2 , Pages 139-144 , March 2009

Article Tools

* Image Usage & Resolution