Evaluation of a QRS scoring system for estimating myocardial infarct size. IV. Correlation with quantitative anatomic findings for posterolateral infarcts.


Journal Article

This study correlated the location and size of posterolateral myocardial infarcts (MIs) measured anatomically with that estimated by quantitative criteria derived from the standard 12-lead ECG. Twenty patients were studied who had autopsy-proved, single, posterolateral MIs and no confounding factors of ventricular hypertrophy or bundle branch block in their ECG. Left ventricular anatomic MI size ranged from 1 to 46%. No patient had a greater than or equal to 0.04-second Q wave in any electrocardiographic lead and only 55% had a 0.03-second Q wave. A 29-point, simplified QRS scoring system consisting of 37 weighted criteria was applied to the ECG. Points were scored by the ECG in 85% of the patients (range 1 to 8 points). MI was indicated by a wide variety of QRS criteria; 19 of the 37 criteria from 8 different electrocardiographic leads were met. The correlation coefficient between MI size measured anatomically and that estimated by the QRS score was 0.72. Each point represented approximately 4% MI of the left ventricular wall.

Full Text

Duke Authors

Cited Authors

  • Ward, RM; White, RD; Ideker, RE; Hindman, NB; Alonso, DR; Bishop, SP; Bloor, CM; Fallon, JT; Gottlieb, GJ; Hackel, DB

Published Date

  • March 1, 1984

Published In

Volume / Issue

  • 53 / 6

Start / End Page

  • 706 - 714

PubMed ID

  • 6702617

Pubmed Central ID

  • 6702617

International Standard Serial Number (ISSN)

  • 0002-9149

Digital Object Identifier (DOI)

  • 10.1016/0002-9149(84)90390-4


  • eng

Conference Location

  • United States