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@article{1774638,
author = {Holická, Mária and Čučková, Pavla and Hnatkova, Katerina and Koc, Lumír and Ondrúš, Tomáš and Lokaj, Petr and Pařenica, Jiří and Novotný, Tomáš and Kala, Petr and Malík, Marek},
article_location = {Basel},
article_number = {5},
doi = {http://dx.doi.org/10.3390/diagnostics11050799},
keywords = {primary percutaneous coronary intervention; Q wave; Selvester score; ST elevation myocardial infarction},
language = {eng},
issn = {2075-4418},
journal = {Diagnostics},
title = {In Comparison to Pathological Q Waves, Selvester Score Is a Superior Diagnostic Indicator of Increased Long-Term Mortality Risk in ST Elevation Myocardial Infarction Patients Treated with Primary Coronary Intervention},
url = {https://www.mdpi.com/2075-4418/11/5/799},
volume = {11},
year = {2021}
}
TY - JOUR
ID - 1774638
AU - Holická, Mária - Čučková, Pavla - Hnatkova, Katerina - Koc, Lumír - Ondrúš, Tomáš - Lokaj, Petr - Pařenica, Jiří - Novotný, Tomáš - Kala, Petr - Malík, Marek
PY - 2021
TI - In Comparison to Pathological Q Waves, Selvester Score Is a Superior Diagnostic Indicator of Increased Long-Term Mortality Risk in ST Elevation Myocardial Infarction Patients Treated with Primary Coronary Intervention
JF - Diagnostics
VL - 11
IS - 5
SP - 1-12
EP - 1-12
PB - MDPI
SN - 20754418
KW - primary percutaneous coronary intervention
KW - Q wave
KW - Selvester score
KW - ST elevation myocardial infarction
UR - https://www.mdpi.com/2075-4418/11/5/799
N2 - The development of pathological Q waves has long been correlated with worsened outcome in patients with ST elevation myocardial infarction (STEMI). In this study, we investigated long-term mortality of STEMI patients treated by primary percutaneous coronary intervention (PPCI) and compared predictive values of Q waves and of Selvester score for infarct volume estimation. Data of 283 consecutive STEMI patients (103 females) treated by PPCI were analysed. The presence of pathological Q wave was evaluated in pre-discharge electrocardiograms (ECGs) recorded >= 72 h after the chest pain onset (72 h Q). The Selvester score was evaluated in acute ECGs (acute Selvester score) and in the pre-discharge ECGs (72 h Selvester score). The results were related to total mortality and to clinical and laboratory variables. A 72 h Q presence and 72 h Selvester score >= 6 was observed in 184 (65.02%) and 143 (50.53%) patients, respectively. During a follow-up of 5.69 +/- 0.66 years, 36 (12.7%) patients died. Multivariably, 72 h Selvester score >= 6 was a strong independent predictor of death, while a predictive value of the 72 h Q wave was absent. In high-risk subpopulations defined by clinical and laboratory variables, the differences in total mortality were highly significant (p < 0.01 for all subgroups) when stratified by 72 h Selvester score >= 6. On the contrary, the additional risk-prediction by 72 h Q presence was either absent or only borderline. In contemporarily treated STEMI patients, Selvester score is a strong independent predictor of long-term all-cause mortality. On the contrary, the prognostic value of Q-wave presence appears limited in contemporarily treated STEMI patients.
ER -
HOLICKÁ, Mária, Pavla ČUČKOVÁ, Katerina HNATKOVA, Lumír KOC, Tomáš ONDRÚŠ, Petr LOKAJ, Jiří PAŘENICA, Tomáš NOVOTNÝ, Petr KALA and Marek MALÍK. In Comparison to Pathological Q Waves, Selvester Score Is a Superior Diagnostic Indicator of Increased Long-Term Mortality Risk in ST Elevation Myocardial Infarction Patients Treated with Primary Coronary Intervention. \textit{Diagnostics}. Basel: MDPI, 2021, vol.~11, No~5, p.~1-12. ISSN~2075-4418. Available from: https://dx.doi.org/10.3390/diagnostics11050799.
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