PMID- 23562751
OWN - NLM
STAT- MEDLINE
DCOM- 20131118
LR  - 20130429
IS  - 1532-8430 (Electronic)
IS  - 0022-0736 (Linking)
VI  - 46
IP  - 3
DP  - 2013 May-Jun
TI  - 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.
PG  - 256-62
LID - S0022-0736(13)00053-8 [pii]
LID - 10.1016/j.jelectrocard.2013.02.010 [doi]
AB  - 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.
CI  - Copyright (c) 2013 Elsevier Inc. All rights reserved.
FAU - Siddiqui, Adeel M
AU  - Siddiqui AM
AD  - Division of Cardiology, Department of Medicine, Duke University Hospital, Durham, 
      NC, USA.
FAU - Samad, Zainab
AU  - Samad Z
FAU - Crowley, Anna Lisa C
AU  - Crowley AL
FAU - Hakacova, Nina
AU  - Hakacova N
FAU - Harrison, J Kevin
AU  - Harrison JK
FAU - Wagner, Galen S
AU  - Wagner GS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130404
PL  - United States
TA  - J Electrocardiol
JT  - Journal of electrocardiology
JID - 0153605
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged, 80 and over
MH  - Algorithms
MH  - Diagnosis, Computer-Assisted/*methods
MH  - Electrocardiography/*methods
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging, Cine/*methods
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/complications/*diagnosis
MH  - Reproducibility of Results
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
MH  - Ventricular Dysfunction, Right/complications/*diagnosis
MH  - Ventricular Septum/*pathology
MH  - Young Adult
EDAT- 2013/04/09 06:00
MHDA- 2013/11/19 06:00
CRDT- 2013/04/09 06:00
PHST- 2012/03/05 00:00 [received]
PHST- 2013/04/09 06:00 [entrez]
PHST- 2013/04/09 06:00 [pubmed]
PHST- 2013/11/19 06:00 [medline]
AID - S0022-0736(13)00053-8 [pii]
AID - 10.1016/j.jelectrocard.2013.02.010 [doi]
PST - ppublish
SO  - J Electrocardiol. 2013 May-Jun;46(3):256-62. doi: 
      10.1016/j.jelectrocard.2013.02.010. Epub 2013 Apr 4.