[1]元洋洋 李波.Selvester QRS评分系统研究进展[J].心血管病学进展,2019,(7):985-987.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.005]
 YUAN YangyangLI Bo.Research Progress of Selvester QRS Scoring System[J].Advances in Cardiovascular Diseases,2019,(7):985-987.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.005]
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Selvester QRS评分系统研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年7期
页码:
985-987
栏目:
综述
出版日期:
2019-10-25

文章信息/Info

Title:
Research Progress of Selvester QRS Scoring System
作者:
元洋洋 李波
元洋洋 李波(昆明医科大学第二附属医院心功能科,云南 昆明 650101 )
Author(s):
YUAN YangyangLI Bo
(Department of Cardiac FunctionThe Second Affiliated Hospital of Kunming Medical UniversityKunming 650101YunnanChina)
关键词:
急性心肌梗死左室射血分数Selvester QRS评分
Keywords:
Acute myocardial infarctionLeft ventricular ejection fractionSelvester QRS score
DOI:
10.16806/j.cnki.issn.1004-3934.2019.07.005
摘要:
急性心肌梗死面积大小对生存率和死亡率有重要预测价值,左室射血分数是急性心肌梗死后一个重要的预后指标,与梗死程度有关。Selvester QRS评分系统可用于评估左心室心肌梗死面积的大小和位置,与心室壁运动异常的严重程度和左室射血分数密切相关,Selvester QRS评分系统可用于心脏猝死风险分层,也可预测左室功能障碍患者室性心律失常。在左束支传导阻滞、非缺血性心肌病、埋藏式心律转复除颤器植入患者中也有重要的评估价值。
Abstract:
The size of acute myocardial infarction has important predictive value for survival and mortality. Left ventricular ejection fraction is an important prognostic indicator after acute myocardial infarction, which is related to the degree of infarction. The Selvester QRS scoring system can be used to assess the size and location of left ventricular myocardial infarct size, closely related to the severity of ventricular wall motion abnormalities and left ventricular ejection fraction. The Selvester QRS scoring system can be used to stratify sudden cardiac death risk or predict left ventricular arrhythmias in patients with ventricular dysfunction. There are also important evaluation values in patients with left bundle branch block, non-ischemic cardiomyopathy and implant cardioverter defibrillator

参考文献/References:

29)。为了便于计算,Xia等[30]开发了一种自动Selvester QRS评分系统,可用于评估LBBB患者。

4 小结

心电图是临床上的常规检查,便于临床医生收集和连续记录。Selvester QRS评分系统是一种基于标准12导联心电图定量标准的评分系统,它联系了各项心电参数和心脏结构之间的关系,可用于AMI患者心肌梗死面积、左心室功能评估。在临床预后评价具有一定价值,是一种经济、有效的方法。目前Selvester QRS评分系统在不断完善,适应证不断扩大。



参 考 文 献

[1] 中国心血管病报告编写组. 《中国心血管病报告2018》概要[J]. 中国循环杂志. 2019,34(3):209-220.

[2] Weiwei C, Runlin G, Lisheng L, et al. Outline of the report on cardiovascular diseases in China, 2014[J]. Eur Heart J Suppl. 2016,18(Suppl F):F2-F11.

[3] Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC)[J]. Eur Heart J. 2018,39(2):119-177.

[4] Shiomi H, Kosuge M, Morimoto T, et al. QRS Score at Presentation Electrocardiogram Is Correlated With Infarct Size and Mortality in ST-Segment Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention[J]. Circ J. 2017,81(8):1129-1136.

[5] Bhatia V, Sood RG, Dhiman DS, et al. Predictors of acute myocardial infarct size in STEMI patients receiving thrombolytic therapy: A delayed contrast enhanced cardiac MRI study[J]. Indian Heart J. 2015,67(2):122-127.

[6] Wagner GS, Freye CJ, Palmeri ST, et al. Evaluation of a QRS scoring system for estimating myocardial infarct size. I. Specificity and observer agreement[J]. Circulation. 1982,65(2):342-347.

[7] Anderson CI, Harrison DG, Stack NC, et al. Evaluation of serial QRS changes during acute inferior myocardial infarction using a QRS scoring system[J]. Am J Cardiol. 1983,52(3):252-256.

[8] Pahlm O, Haisty WK, Jr., Wagner NB, et al. Specificity and sensitivity of QRS criteria for diagnosis of single and multiple myocardial infarcts[J]. Am J Cardiol. 1991,68(13):1300-1304.

[9] Holmes LE, Nguyen TL, Hee L, et al. Electrocardiographic measurement of infarct size compared to cardiac MRI in reperfused first time ST-segment elevation myocardial infarction[J]. Int J Cardiol. 2016,220:389-394.

[10] Kurisu S, Shimonaga T, Ikenaga H, et al. Selvester QRS score and total perfusion deficit calculated by quantitative gated single-photon emission computed tomography in patients with prior anterior myocardial infarction in the coronary intervention era[J]. Heart Vessels. 2017,32(4):369-375.

[11] Watanabe N, Isobe S, Okumura T, et al. Relationship between QRS score and microvascular obstruction after acute anterior myocardial infarction[J]. J Cardiol. 2016,67(4):321-326.

[12] Wiiala J, Hedstrom E, Kraen M, et al. Diagnostic performance of the Selvester QRS scoring system in relation to clinical ECG assessment of patients with lateral myocardial infarction using cardiac magnetic resonance as reference standard[J]. J Electrocardiol. 2015,48(5):750-757.

[13] Mordi I, Bezerra H, Carrick D, et al. The Combined Incremental Prognostic Value of LVEF, Late Gadolinium Enhancement, and Global Circumferential Strain Assessed by CMR[J]. JACC: Cardiovascular Imaging. 2015,8(5):540-549.

[14] Palmeri ST, Harrison DG, Cobb FR, et al. A QRS scoring system for assessing left ventricular function after myocardial infarction[J]. N Engl J Med. 1982,306(1):4-9.

[15] Roubin GS, Shen WF, Kelly DT, et al. The QRS scoring system for estimating myocardial infarct size: clinical, angiographic and prognostic correlations[J]. J Am Coll Cardiol. 1983,2(1):38-44.

[16] Seino Y, Staniloff HM, Shell WE, et al. Evaluation of a QRS scoring system in acute myocardial infarction: relation to infarct size, early stage left ventricular ejection fraction, and exercise performance[J]. Am J Cardiol. 1983,52(1):37-42.

[17] Weir RA, Martin TN, Murphy CA, et al. Comparison of serial measurements of infarct size and left ventricular ejection fraction by contrast-enhanced cardiac magnetic resonance imaging and electrocardiographic QRS scoring in reperfused anterior ST-elevation myocardial infarction[J]. J Electrocardiol. 2010,43(3):230-236.

[18] Marcassa C, Galli M, Paino A, et al. Electrocardiographic evolution after Q-wave anterior myocardial infarction: correlations between QRS score and changes in left ventricular perfusion and function[J]. J Nucl Cardiol. 2001,8(5):561-567.

[19] Bignoto TC, Moreira DAR, Habib RG, et al. Electrocardiography scar quantification correlates with scar size of hypertrophic cardiomyopathy seen by multidetector computed tomography[J]. Clin Cardiol. 2018,41(6):837-842.

[20] Hiraiwa H, Okumura T, Sawamura A, et al. The Selvester QRS score as a predictor of cardiac events in nonischemic dilated cardiomyopathy[J]. J Cardiol. 2018,71(3):284-290.

[21] Sobue Y, Harada M, Koshikawa M, et al. QRS-based assessment of myocardial damage and adverse events associated with cardiac sarcoidosis[J]. Heart Rhythm. 2015,12(12):2499-2507.

[22] Reitan C, Chaudhry U, Atwater B, et al. Semi-automated QRS score as a predictor of survival in CRT treated patients with strict left bundle branch block[J]. J Electrocardiol. 2018,51(2):282-287.

[23] Wieslander B, Loring Z, Zareba W, et al. Scar burden assessed by Selvester QRS score predicts prognosis, not CRT clinical benefit in preventing heart failure event and death: A MADIT-CRT sub-study[J]. J Electrocardiol. 2016,49(4):603-609.

[24] 蒋娅, 李波. 心肌瘢痕研究进展[J]. 心血管病学进展. 2016,37(1):66-69.

[25] Strauss DG, Poole JE, Wagner GS, et al. An ECG index of myocardial scar enhances prediction of defibrillator shocks: an analysis of the Sudden Cardiac Death in Heart Failure Trial[J]. Heart Rhythm. 2011,8(1):38-45.

[26] Poels TT, Kats S, Veenstra L, et al. Reservations about the Selvester QRS score in left bundle branch block - Experience in patients with transcatheter aortic valve implantation[J]. J Electrocardiol. 2017,50(2):261-267.

[27] Chaudhry U, Platonov PG, Jablonowski R, et al. Evaluation of the ECG based Selvester scoring method to estimate myocardial scar burden and predict clinical outcome in patients with left bundle branch block, with comparison to late gadolinium enhancement CMR imaging[J]. Ann Noninvasive Electrocardiol,2017,22(5). doi: 10.1111/anec.12440.

[28] Badertscher P, Strebel I, Honegger U, et al. Automatically computed ECG algorithm for the quantification of myocardial scar and the prediction of mortality[J]. Clin Res Cardiol. 2018,107(9):824-835.

[29] Loring Z, Chelliah S, Selvester RH, et al. A detailed guide for quantification of myocardial scar with the Selvester QRS score in the presence of electrocardiogram confounders[J]. J Electrocardiol. 2011,44(5):544-554.

[30] Xia X, Wieslander B, Strauss DG, et al. Automatic QRS Selvester scoring system in patients with left bundle branch block[J]. Europace. 2016,18(2):308-314.

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更新日期/Last Update: 2019-12-16