PMID- 31169133
OWN - NLM
STAT- MEDLINE
DCOM- 20200722
LR  - 20200722
IS  - 0972-2823 (Electronic)
IS  - 0022-3859 (Print)
IS  - 0022-3859 (Linking)
VI  - 65
IP  - 3
DP  - 2019 Jul-Sep
TI  - Correlation of cumulative ST elevation with left ventricular ejection fraction 
      and 30-day outcome in patients with ST elevation myocardial infarction.
PG  - 146-151
LID - 10.4103/jpgm.JPGM_364_18 [doi]
AB  - BACKGROUND: The electrocardiogram (ECG) is the first and often the only 
      investigation available prior to definitive therapy in patients with ST elevation 
      myocardial infarction (STEMI). A good prognostic marker is the left ventricular 
      ejection fraction (LVEF) on ECG. Our aim was to assess the correlation between ST 
      elevation (STE) in ECG and the LVEF and thereby aid the prognosis of patients 
      with STEMI. METHODS: This was a prospective cohort study of 230 patients with 
      STEMI. A baseline 12-lead ECG was taken to calculate the sum of STE at the J 
      point in all the leads showing elevation. The STE was measured 90 min after 
      revascularization to calculate the ST resolution percentage (STR%). All patients 
      underwent echocardiography, and the LVEF was measured using biplane Simpson's 
      method. RESULTS: A total of 136 patients with anterior myocardial infarction 
      (MI), 35 with inferior MI, and 59 with inferoposterior MI were included in the 
      study. Mean STE was 13 mm and was significantly higher among patients with 
      anterior MI. There was a good inverse correlation between the STE and the LVEF 
      with a correlation coefficient of -0.64. STR% had a correlation coefficient of 
      0.59 to the LVEF. A formula was generated to calculate the LVEF based on the STE 
      as follows: LVEF = (37.34 - STE)/0.567. An STE >/=15 mm predicted an LVEF <35% with 
      a sensitivity and specificity of 70%. CONCLUSION: The STE and STR% are useful 
      surrogate markers in prognosticating patients irrespective of the type of STEMI.
FAU - Kiron, V
AU  - Kiron V
AD  - Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India.
FAU - George, P V
AU  - George PV
AD  - Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Postgrad Med
JT  - Journal of postgraduate medicine
JID - 2985196R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Echocardiography/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Prognosis
MH  - Prospective Studies
MH  - ST Elevation Myocardial Infarction/*diagnostic imaging/*mortality/physiopathology
MH  - Sensitivity and Specificity
MH  - *Stroke Volume
MH  - Ventricular Function, Left/*physiology
PMC - PMC6659429
OTO - NOTNLM
OT  - ST elevation myocardial infarction
OT  - ST resolution percentage
OT  - sum ST elevation
COIS- There are no conflicts of interest.
EDAT- 2019/06/07 06:00
MHDA- 2020/07/23 06:00
PMCR- 2019/07/01
CRDT- 2019/06/07 06:00
PHST- 2019/06/07 06:00 [pubmed]
PHST- 2020/07/23 06:00 [medline]
PHST- 2019/06/07 06:00 [entrez]
PHST- 2019/07/01 00:00 [pmc-release]
AID - 259185 [pii]
AID - JPGM-65-146 [pii]
AID - 10.4103/jpgm.JPGM_364_18 [doi]
PST - ppublish
SO  - J Postgrad Med. 2019 Jul-Sep;65(3):146-151. doi: 10.4103/jpgm.JPGM_364_18.