Selvester score and myocardial performance index in acute anterior myocardial infarction
Yükleniyor...
Dosyalar
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Assoc Medica Brasileira
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
BACKGROUND: The simplified Selvester QRS score is a parameter for estimating myocardial damage in ST-elevation myocardial infarction. ST-elevation myocardial infarction leads to varying degrees of impairment in left ventricular systolic and diastolic function. Myocardial performance index is a single parameter that can predict combined left ventricular systolic and diastolic performance. OBJECTIVE: We investigated the relationship between Selvester score and myocardial performance index in patients undergoing primary percutaneous coronary intervention for acute anterior myocardial infarction. METHODS: The study included 58 patients who underwent primary percutaneous coronary intervention for acute anterior myocardial infarction. Selvester score of all patients was also calculated at 72 h. Patients were categorized into two groups according to the Selvester score. Those with a score <6 (low score) were considered group 1 and those with a score >= 6 (high score) were considered group 2. RESULTS: When compared with group 1, patients in group 2 were older (p=0.01) and had lower left ventricular ejection fractions (50.3 +/- 4 vs. 35.6 +/- 6.9, p=0.001), and conventional myocardial performance index (0.52 +/- 0.06 vs. 0.69 +/- 0.08, p=0.001), lateral tissue Doppler-derived myocardial performance index (0.57 +/- 0.08 vs. 0.72 +/- 0.08, p=0.001), and septal tissue Doppler-derived myocardial performance index (0.62 +/- 0.07 vs. 0.76 +/- 0.08, p=0.001) were higher. There was a high correlation between lateral tissue Doppler-derived myocardial performance index and conventional myocardial performance index and Selvester score (r=0.80, p<0.001; r=0.86, p<0.001, respectively) and a moderate correlation between septal tissue Doppler -derived myocardial performance index and Selvester score (r=0.67, p<0.001). CONCLUSIONS: The post-procedural Selvester score can predict lateral tissue Doppler-derived myocardial performance index and conventional myocardial performance index with high sensitivity and acceptable specificity in patients undergoing primary percutaneous coronary intervention for acute anterior myocardial infarction.
Açıklama
Anahtar Kelimeler
Echocardiography, Infarction, Percutaneous coronary intervention, Qrs Score, Size, Elevation, System, Risk
Kaynak
Revista Da Associacao Medica Brasileira
WoS Q Değeri
Q2
Scopus Q Değeri
Q3
Cilt
69
Sayı
2
