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Correlation of anteroseptal ST elevation with myocardial infarction territories through cardiovascular magnetic resonance imaging

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Correlation of anteroseptal ST elevation with myocardial infarction territories through 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; Ripa, Maria Sejersten; Birnbaum, Yochai.

In: J ELECTROCARDIOL, Vol. 51, No. 4, 13.07.2018, p. 563-568.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Allencherril, J, Fakhri, Y, Engblom, H, Heiberg, E, Carlsson, M, Dubois-Rande, J-L, Halvorsen, S, Hall, TS, Larsen, A-I, Jensen, SE, Arheden, H, Atar, D, Clemmensen, P, Ripa, MS & Birnbaum, Y 2018, 'Correlation of anteroseptal ST elevation with myocardial infarction territories through cardiovascular magnetic resonance imaging', J ELECTROCARDIOL, vol. 51, no. 4, pp. 563-568. https://doi.org/10.1016/j.jelectrocard.2018.03.016

APA

Allencherril, J., Fakhri, Y., Engblom, H., Heiberg, E., Carlsson, M., Dubois-Rande, J-L., Halvorsen, S., Hall, T. S., Larsen, A-I., Jensen, S. E., Arheden, H., Atar, D., Clemmensen, P., Ripa, M. S., & Birnbaum, Y. (2018). Correlation of anteroseptal ST elevation with myocardial infarction territories through cardiovascular magnetic resonance imaging. J ELECTROCARDIOL, 51(4), 563-568. https://doi.org/10.1016/j.jelectrocard.2018.03.016

Vancouver

Allencherril J, Fakhri Y, Engblom H, Heiberg E, Carlsson M, Dubois-Rande J-L et al. Correlation of anteroseptal ST elevation with myocardial infarction territories through cardiovascular magnetic resonance imaging. J ELECTROCARDIOL. 2018 Jul 13;51(4):563-568. https://doi.org/10.1016/j.jelectrocard.2018.03.016

Bibtex

@article{7ee4d0329ca74143bc491c7fd28f9592,
title = "Correlation of anteroseptal ST elevation with myocardial infarction territories through cardiovascular magnetic resonance imaging",
abstract = "BACKGROUND: Anteroseptal ST elevation myocardial infarction (STEMI) is traditionally defined on the electrocardiogram (ECG) by ST elevation (STE) in leads V1-V3, with or without involvement of lead V4. It is commonly taught that such infarcts affect the basal anteroseptal myocardial segment. While there are suggestions in the literature that Q waves limited to V1-V4 represent predominantly apical infarction, none have evaluated anteroseptal ST elevation territories. We compared the distribution of the myocardium at risk (MaR) in STEMI patients presenting with STE limited to V1-V4 and those with more extensive STE (V1-V6).METHODS: We identified patients in the MITOCARE study presenting with a first acute STEMI and new STE in at least two contiguous anterior leads from V1 to V6. Patients underwent cardiac magnetic resonance (CMR) imaging three to five days after acute infarction.RESULTS: Thirty-two patients met inclusion criteria. In patients with STE in V1-V4 (n = 20), myocardium at risk (MaR) > 50% was seen in 0%, 85%, 75%, 100%, and 90% in the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. The group with STE in V1-V6 (n = 12), MaR > 50% was seen in 8%, 83%, 83%, 92%, and 83% of the same segments.CONCLUSIONS: Patients with acute STEMI and STE in leads V1-V4, exhibit MaR in predominantly apical territories and rarely in the basal anteroseptum. We found no evidence to support existence of isolated basal anteroseptal or septal STEMI. {"}Anteroapical{"} infarction is a more precise description than {"}anteroseptal{"} infarction for acute STEMI patients exhibiting STE in V1-V4.",
keywords = "Aged, Double-Blind Method, Electrocardiography, Female, Heart/diagnostic imaging, Humans, Magnetic Resonance Imaging, Male, Middle Aged, ST Elevation Myocardial Infarction/diagnosis, Ventricular Function, Left",
author = "Joseph Allencherril and Yama Fakhri and Henrik Engblom and Einar Heiberg and Marcus Carlsson and Jean-Luc Dubois-Rande and Sigrun Halvorsen and Hall, {Trygve S} and Alf-Inge Larsen and Jensen, {Svend Eggert} and Hakan Arheden and Dan Atar and Peter Clemmensen and Ripa, {Maria Sejersten} and Yochai Birnbaum",
note = "Copyright {\textcopyright} 2018 Elsevier Inc. All rights reserved.",
year = "2018",
month = jul,
day = "13",
doi = "10.1016/j.jelectrocard.2018.03.016",
language = "English",
volume = "51",
pages = "563--568",
journal = "J ELECTROCARDIOL",
issn = "0022-0736",
publisher = "Churchill Livingstone",
number = "4",

}

RIS

TY - JOUR

T1 - Correlation of anteroseptal ST elevation with myocardial infarction territories through 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 - Ripa, Maria Sejersten

AU - Birnbaum, Yochai

N1 - Copyright © 2018 Elsevier Inc. All rights reserved.

PY - 2018/7/13

Y1 - 2018/7/13

N2 - BACKGROUND: Anteroseptal ST elevation myocardial infarction (STEMI) is traditionally defined on the electrocardiogram (ECG) by ST elevation (STE) in leads V1-V3, with or without involvement of lead V4. It is commonly taught that such infarcts affect the basal anteroseptal myocardial segment. While there are suggestions in the literature that Q waves limited to V1-V4 represent predominantly apical infarction, none have evaluated anteroseptal ST elevation territories. We compared the distribution of the myocardium at risk (MaR) in STEMI patients presenting with STE limited to V1-V4 and those with more extensive STE (V1-V6).METHODS: We identified patients in the MITOCARE study presenting with a first acute STEMI and new STE in at least two contiguous anterior leads from V1 to V6. Patients underwent cardiac magnetic resonance (CMR) imaging three to five days after acute infarction.RESULTS: Thirty-two patients met inclusion criteria. In patients with STE in V1-V4 (n = 20), myocardium at risk (MaR) > 50% was seen in 0%, 85%, 75%, 100%, and 90% in the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. The group with STE in V1-V6 (n = 12), MaR > 50% was seen in 8%, 83%, 83%, 92%, and 83% of the same segments.CONCLUSIONS: Patients with acute STEMI and STE in leads V1-V4, exhibit MaR in predominantly apical territories and rarely in the basal anteroseptum. We found no evidence to support existence of isolated basal anteroseptal or septal STEMI. "Anteroapical" infarction is a more precise description than "anteroseptal" infarction for acute STEMI patients exhibiting STE in V1-V4.

AB - BACKGROUND: Anteroseptal ST elevation myocardial infarction (STEMI) is traditionally defined on the electrocardiogram (ECG) by ST elevation (STE) in leads V1-V3, with or without involvement of lead V4. It is commonly taught that such infarcts affect the basal anteroseptal myocardial segment. While there are suggestions in the literature that Q waves limited to V1-V4 represent predominantly apical infarction, none have evaluated anteroseptal ST elevation territories. We compared the distribution of the myocardium at risk (MaR) in STEMI patients presenting with STE limited to V1-V4 and those with more extensive STE (V1-V6).METHODS: We identified patients in the MITOCARE study presenting with a first acute STEMI and new STE in at least two contiguous anterior leads from V1 to V6. Patients underwent cardiac magnetic resonance (CMR) imaging three to five days after acute infarction.RESULTS: Thirty-two patients met inclusion criteria. In patients with STE in V1-V4 (n = 20), myocardium at risk (MaR) > 50% was seen in 0%, 85%, 75%, 100%, and 90% in the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. The group with STE in V1-V6 (n = 12), MaR > 50% was seen in 8%, 83%, 83%, 92%, and 83% of the same segments.CONCLUSIONS: Patients with acute STEMI and STE in leads V1-V4, exhibit MaR in predominantly apical territories and rarely in the basal anteroseptum. We found no evidence to support existence of isolated basal anteroseptal or septal STEMI. "Anteroapical" infarction is a more precise description than "anteroseptal" infarction for acute STEMI patients exhibiting STE in V1-V4.

KW - Aged

KW - Double-Blind Method

KW - Electrocardiography

KW - Female

KW - Heart/diagnostic imaging

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Middle Aged

KW - ST Elevation Myocardial Infarction/diagnosis

KW - Ventricular Function, Left

U2 - 10.1016/j.jelectrocard.2018.03.016

DO - 10.1016/j.jelectrocard.2018.03.016

M3 - SCORING: Journal article

C2 - 29996989

VL - 51

SP - 563

EP - 568

JO - J ELECTROCARDIOL

JF - J ELECTROCARDIOL

SN - 0022-0736

IS - 4

ER -