Detailed Information on Publication Record
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.Basic information
Original name
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
Authors
HOLICKÁ, Mária (703 Slovakia, belonging to the institution), Pavla ČUČKOVÁ (203 Czech Republic, belonging to the institution), Katerina HNATKOVA (203 Czech Republic), Lumír KOC (203 Czech Republic, belonging to the institution), Tomáš ONDRÚŠ (703 Slovakia, belonging to the institution), Petr LOKAJ (203 Czech Republic, belonging to the institution), Jiří PAŘENICA (203 Czech Republic, belonging to the institution), Tomáš NOVOTNÝ (203 Czech Republic, guarantor, belonging to the institution), Petr KALA (203 Czech Republic, belonging to the institution) and Marek MALÍK (203 Czech Republic, belonging to the institution)
Edition
Diagnostics, Basel, MDPI, 2021, 2075-4418
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30218 General and internal medicine
Country of publisher
Switzerland
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 3.992
RIV identification code
RIV/00216224:14110/21:00121724
Organization unit
Faculty of Medicine
UT WoS
000653807800001
Keywords in English
primary percutaneous coronary intervention; Q wave; Selvester score; ST elevation myocardial infarction
Tags
International impact, Reviewed
Změněno: 8/6/2021 10:31, Mgr. Tereza Miškechová
Abstract
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.
Links
| MUNI/A/1437/2020, interní kód MU |
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