BACKGROUND: Early risk stratification plays a crucial role in the treatment of non-ST-elevation myocardial infarction (NSTEMI). Selvester score is an electrocardiography (ECG)-based method for estimating infarcted myocardial mass, however it has not been studied in NSTEMI before. In this study, we aimed to investigate the relationship between Selvester score and cardiovascular outcomes in a 1-year follow-up period in NSTEMI patients. METHODS: One hundred and forty-three consecutive patients with NSTEMI were analyzed. TIMI and GRACE risk scores were calculated accordingly. Selvester score was calculated on surface ECG as reported in prior studies. Syntax score was calculated using an online calculator. The study population was divided into two groups based on a cut-off value from receiver operating characteristic curve analysis for the discriminative ability of Selvester score for mortality: low score (≤ 4), and high score (> 4) groups. RESULTS: Age was higher, left ventricle ejection fraction and high-density lipoprotein-cholesterol levels were significantly lower, and TIMI, GRACE and SYNTAX scores were significantly higher in the high Selvester score group. In multivariate Cox regression analysis, ejection fraction [hazard ratio (HR): 0.926, 95% confidence interval (CI): 0.883-0.971, p = 0.002] and Selvester score > 4 (HR: 3.335, 95% CI: 1.306-8.503, p = 0.012) were found to be independent predictors of adverse events after 1 year of follow-up. CONCLUSIONS: Selvester score is a fast and feasible method that has prognostic value for mortality and other major adverse outcomes in low and intermediate risk NSTEMI patients treated with urgent percutaneous coronary intervention for 12 months.
BACKGROUND: Early risk stratification plays a crucial role in the treatment of non-ST-elevation myocardial infarction (NSTEMI). Selvester score is an electrocardiography (ECG)-based method for estimating infarcted myocardial mass, however it has not been studied in NSTEMI before. In this study, we aimed to investigate the relationship between Selvester score and cardiovascular outcomes in a 1-year follow-up period in NSTEMI patients. METHODS: One hundred and forty-three consecutive patients with NSTEMI were analyzed. TIMI and GRACE risk scores were calculated accordingly. Selvester score was calculated on surface ECG as reported in prior studies. Syntax score was calculated using an online calculator. The study population was divided into two groups based on a cut-off value from receiver operating characteristic curve analysis for the discriminative ability of Selvester score for mortality: low score (≤ 4), and high score (> 4) groups. RESULTS: Age was higher, left ventricle ejection fraction and high-density lipoprotein-cholesterol levels were significantly lower, and TIMI, GRACE and SYNTAX scores were significantly higher in the high Selvester score group. In multivariate Cox regression analysis, ejection fraction [hazard ratio (HR): 0.926, 95% confidence interval (CI): 0.883-0.971, p = 0.002] and Selvester score > 4 (HR: 3.335, 95% CI: 1.306-8.503, p = 0.012) were found to be independent predictors of adverse events after 1 year of follow-up. CONCLUSIONS: Selvester score is a fast and feasible method that has prognostic value for mortality and other major adverse outcomes in low and intermediate risk NSTEMI patients treated with urgent percutaneous coronary intervention for 12 months.
Authors: Charles V Pollack; Frank D Sites; Frances S Shofer; Keara L Sease; Judd E Hollander Journal: Acad Emerg Med Date: 2005-12-19 Impact factor: 3.451
Authors: Andrew T Yan; Raymond T Yan; Mary Tan; Amparo Casanova; Marino Labinaz; Kumar Sridhar; David H Fitchett; Anatoly Langer; Shaun G Goodman Journal: Eur Heart J Date: 2007-04-16 Impact factor: 29.983
Authors: R M Ward; R D White; R E Ideker; N B Hindman; D R Alonso; S P Bishop; C M Bloor; J T Fallon; G J Gottlieb; D B Hackel Journal: Am J Cardiol Date: 1984-03-01 Impact factor: 2.778
Authors: R E Ideker; G S Wagner; W K Ruth; D R Alonso; S P Bishop; C M Bloor; J T Fallon; G J Gottlieb; D B Hackel; H R Phillips; K A Reimer; S F Roark; W J Rogers; R M Savage; R D White; R H Selvester Journal: Am J Cardiol Date: 1982-05 Impact factor: 2.778
Authors: G S Wagner; C J Freye; S T Palmeri; S F Roark; N C Stack; R E Ideker; F E Harrell; R H Selvester Journal: Circulation Date: 1982-02 Impact factor: 29.690
Authors: Keith A A Fox; Gordon Fitzgerald; Etienne Puymirat; Wei Huang; Kathryn Carruthers; Tabassome Simon; Pierre Coste; Jacques Monsegu; Philippe Gabriel Steg; Nicolas Danchin; Fred Anderson Journal: BMJ Open Date: 2014-02-21 Impact factor: 2.692
Authors: Marco Roffi; Carlo Patrono; Jean-Philippe Collet; Christian Mueller; Marco Valgimigli; Felicita Andreotti; Jeroen J Bax; Michael A Borger; Carlos Brotons; Derek P Chew; Baris Gencer; Gerd Hasenfuss; Keld Kjeldsen; Patrizio Lancellotti; Ulf Landmesser; Julinda Mehilli; Debabrata Mukherjee; Robert F Storey; Stephan Windecker Journal: Eur Heart J Date: 2015-08-29 Impact factor: 29.983