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Relationships between cardiac magnetic resonance imaging abnormalities in the inter-ventricular septum and Selvester QRS scoring criteria for anterior-septal myocardial infarction in patients with right ventricular volume overload

Siddiqui, Adeel M. ; Samad, Zainab ; Crowley, Anna Lisa C. ; Hakacova, Nina LU ; Harrison, J. Kevin and Wagner, Galen S. (2013) In Journal of Electrocardiology 46(3). p.256-262
Abstract
Background: Patients with ostium secundum atrial septal defects (ASDs) were studied to determine the prevalence of Selvester anteroseptal myocardial infarction QRS points, and to test the hypothesis that there is a relationship between these criteria and thinning and/or scarring of the inter-ventricular septum (IVS). Methods: Demographic, electrocardiographic (ECG), and cardiac magnetic resonance imaging (CMR) data were acquired on 46 patients with a secundum ASD closed percutaneously. Selvester QRS scoring on patient ECGs was performed for areas representing the anteroseptal region of the left ventricle (LV). The IVS to LV free wall thickness ratio was used to assess thinning of the IVS while late gadolinium enhancement (LGE) of the IVS... (More)
Background: Patients with ostium secundum atrial septal defects (ASDs) were studied to determine the prevalence of Selvester anteroseptal myocardial infarction QRS points, and to test the hypothesis that there is a relationship between these criteria and thinning and/or scarring of the inter-ventricular septum (IVS). Methods: Demographic, electrocardiographic (ECG), and cardiac magnetic resonance imaging (CMR) data were acquired on 46 patients with a secundum ASD closed percutaneously. Selvester QRS scoring on patient ECGs was performed for areas representing the anteroseptal region of the left ventricle (LV). The IVS to LV free wall thickness ratio was used to assess thinning of the IVS while late gadolinium enhancement (LGE) of the IVS was used for scarring; both using CMR. Results: Twenty-four (52%) patients scored Selvester QRS points in the anteroseptal region with a mean score of 2.6 +/- 1.8. The mean IVS/LV free wall thickness ratio at the basal level and mid-ventricular level was 1.1 +/- 0.3 and 1.3 +/- 0.3, respectively. There was no association of Selvester QRS points with IVS/LV free wall ratio at the basal (p= 0.59) or mid-ventricular (p=0.13) levels. The one patient with LGE in the IVS had 4 Selvester anteroseptal QRS points. Conclusion: The results of our study demonstrate that in our patient population there is a 52% prevalence of Selvester anteroseptal QRS points which are due to thinning and/or scarring of the IVS in only one patient. (C) 2013 Elsevier Inc. All rights reserved. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Atrial septal defect, Anterior infarct criteria, RV volume overload, Electrocardiogram, Magnetic resonance imaging
in
Journal of Electrocardiology
volume
46
issue
3
pages
256 - 262
publisher
Elsevier
external identifiers
  • wos:000318457600011
  • scopus:84876670304
ISSN
1532-8430
DOI
10.1016/j.jelectrocard.2013.02.010
language
English
LU publication?
yes
id
519af8bf-aa24-40f5-99e4-a88b265397fb (old id 3821462)
date added to LUP
2016-04-01 10:28:33
date last changed
2022-01-25 23:37:28
@article{519af8bf-aa24-40f5-99e4-a88b265397fb,
  abstract     = {{Background: Patients with ostium secundum atrial septal defects (ASDs) were studied to determine the prevalence of Selvester anteroseptal myocardial infarction QRS points, and to test the hypothesis that there is a relationship between these criteria and thinning and/or scarring of the inter-ventricular septum (IVS). Methods: Demographic, electrocardiographic (ECG), and cardiac magnetic resonance imaging (CMR) data were acquired on 46 patients with a secundum ASD closed percutaneously. Selvester QRS scoring on patient ECGs was performed for areas representing the anteroseptal region of the left ventricle (LV). The IVS to LV free wall thickness ratio was used to assess thinning of the IVS while late gadolinium enhancement (LGE) of the IVS was used for scarring; both using CMR. Results: Twenty-four (52%) patients scored Selvester QRS points in the anteroseptal region with a mean score of 2.6 +/- 1.8. The mean IVS/LV free wall thickness ratio at the basal level and mid-ventricular level was 1.1 +/- 0.3 and 1.3 +/- 0.3, respectively. There was no association of Selvester QRS points with IVS/LV free wall ratio at the basal (p= 0.59) or mid-ventricular (p=0.13) levels. The one patient with LGE in the IVS had 4 Selvester anteroseptal QRS points. Conclusion: The results of our study demonstrate that in our patient population there is a 52% prevalence of Selvester anteroseptal QRS points which are due to thinning and/or scarring of the IVS in only one patient. (C) 2013 Elsevier Inc. All rights reserved.}},
  author       = {{Siddiqui, Adeel M. and Samad, Zainab and Crowley, Anna Lisa C. and Hakacova, Nina and Harrison, J. Kevin and Wagner, Galen S.}},
  issn         = {{1532-8430}},
  keywords     = {{Atrial septal defect; Anterior infarct criteria; RV volume overload; Electrocardiogram; Magnetic resonance imaging}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{256--262}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Electrocardiology}},
  title        = {{Relationships between cardiac magnetic resonance imaging abnormalities in the inter-ventricular septum and Selvester QRS scoring criteria for anterior-septal myocardial infarction in patients with right ventricular volume overload}},
  url          = {{http://dx.doi.org/10.1016/j.jelectrocard.2013.02.010}},
  doi          = {{10.1016/j.jelectrocard.2013.02.010}},
  volume       = {{46}},
  year         = {{2013}},
}