Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging
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Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging. / Allencherril, Joseph; Fakhri, Yama; Engblom, Henrik; Heiberg, Einar; Carlsson, Marcus; Dubois-Rande, Jean-Luc; Halvorsen, Sigrun; Hall, Trygve S; Larsen, Alf-Inge; Jensen, Svend Eggert; Arheden, Hakan; Atar, Dan; Clemmensen, Peter; Shah, Dipan J; Cheong, Benjamin; Sejersten, Maria; Birnbaum, Yochai.
in: J ELECTROCARDIOL, Jahrgang 51, Nr. 2, 07.11.2017, S. 218-223.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging
AU - Allencherril, Joseph
AU - Fakhri, Yama
AU - Engblom, Henrik
AU - Heiberg, Einar
AU - Carlsson, Marcus
AU - Dubois-Rande, Jean-Luc
AU - Halvorsen, Sigrun
AU - Hall, Trygve S
AU - Larsen, Alf-Inge
AU - Jensen, Svend Eggert
AU - Arheden, Hakan
AU - Atar, Dan
AU - Clemmensen, Peter
AU - Shah, Dipan J
AU - Cheong, Benjamin
AU - Sejersten, Maria
AU - Birnbaum, Yochai
N1 - Copyright © 2017 Elsevier Inc. All rights reserved.
PY - 2017/11/7
Y1 - 2017/11/7
N2 - BACKGROUND: In traditional literature, it appears that "anteroseptal" MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. "Anteroapical infarction" is a more appropriate term than "anteroseptal infarction."
AB - BACKGROUND: In traditional literature, it appears that "anteroseptal" MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. "Anteroapical infarction" is a more appropriate term than "anteroseptal infarction."
KW - Aged
KW - Anterior Wall Myocardial Infarction/classification
KW - Contrast Media
KW - Female
KW - Gadolinium
KW - Humans
KW - Magnetic Resonance Imaging/methods
KW - Male
KW - Middle Aged
KW - Retrospective Studies
KW - Terminology as Topic
U2 - 10.1016/j.jelectrocard.2017.09.013
DO - 10.1016/j.jelectrocard.2017.09.013
M3 - SCORING: Journal article
C2 - 29103621
VL - 51
SP - 218
EP - 223
JO - J ELECTROCARDIOL
JF - J ELECTROCARDIOL
SN - 0022-0736
IS - 2
ER -