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


Journal Article

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 (STEMI). 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 STEMI 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.

Full Text

Cited Authors

  • Carlsen, EA; Bang, LE; Ahtarovski, KA; Engstrøm, T; Køber, L; Kelbæk, H; Vejlstrup, N; Jørgensen, E; Helqvist, S; Saunamäki, K; Clemmensen, P; Holmvang, L; Wagner, GS; Lønborg, J

Published Date

  • July 2012

Published In

Volume / Issue

  • 45 / 4

Start / End Page

  • 414 - 419

PubMed ID

  • 22554459

Pubmed Central ID

  • 22554459

Electronic International Standard Serial Number (EISSN)

  • 1532-8430

International Standard Serial Number (ISSN)

  • 0022-0736

Digital Object Identifier (DOI)

  • 10.1016/j.jelectrocard.2012.03.007


  • eng