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

J 2021

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

HOLICKÁ, Mária, Pavla ČUČKOVÁ, Katerina HNATKOVA, Lumír KOC, Tomáš ONDRÚŠ et. al.

Základní údaje

Originální název

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

Autoři

HOLICKÁ, Mária (703 Slovensko, domácí), Pavla ČUČKOVÁ (203 Česká republika, domácí), Katerina HNATKOVA (203 Česká republika), Lumír KOC (203 Česká republika, domácí), Tomáš ONDRÚŠ (703 Slovensko, domácí), Petr LOKAJ (203 Česká republika, domácí), Jiří PAŘENICA (203 Česká republika, domácí), Tomáš NOVOTNÝ (203 Česká republika, garant, domácí), Petr KALA (203 Česká republika, domácí) a Marek MALÍK (203 Česká republika, domácí)

Vydání

Diagnostics, Basel, MDPI, 2021, 2075-4418

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.992

Kód RIV

RIV/00216224:14110/21:00121724

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/diagnostics11050799

UT WoS

000653807800001

Klíčová slova anglicky

primary percutaneous coronary intervention; Q wave; Selvester score; ST elevation myocardial infarction

Štítky

14110211, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 8. 6. 2021 10:31, Mgr. Tereza Miškechová

Anotace

V originále

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.

Návaznosti

MUNI/A/1437/2020, interní kód MU

Název: Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu a struktur myokardu (Akronym: ECG2021)

Investor: Masarykova univerzita, Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu a struktur myokardu

Citovat

HOLICKÁ, Mária, Pavla ČUČKOVÁ, Katerina HNATKOVA, Lumír KOC, Tomáš ONDRÚŠ, Petr LOKAJ, Jiří PAŘENICA, Tomáš NOVOTNÝ, Petr KALA a 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. Diagnostics. Basel: MDPI, 2021, roč. 11, č. 5, s. 1-12. ISSN 2075-4418. Dostupné z: https://dx.doi.org/10.3390/diagnostics11050799.

@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 a 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, roč.~11, č.~5, s.~1-12. ISSN~2075-4418. Dostupné z: https://dx.doi.org/10.3390/diagnostics11050799.

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