Limitations of electrocardiographic scoring systems for estimation of left ventricular function

Journal Article · Wed Jun 01 04:00:00 EDT 1983 · J. Am. Coll. Cardiol.; (United States)

DOI:https://doi.org/10.1016/S0735-1097(83)80052-7· OSTI ID:5394203

Young, S G; Abouantoun, S; Savvides, M; Madsen, E B; Froelicher, V

Four electrocardiographic scoring systems for the assessment of left ventricular function or presence of myocardial infarction were evaluated in 231 patients with coronary artery disease. Electrocardiographic scores were compared with radionuclide ejection fraction and thallium perfusion studies. The correlation between Wagner's modified QRS score and ejection fraction was only fair (r . -0.60). Askenazi's sum of R wave voltage score correlated poorly with ejection fraction (r . 0.44), as did Gottwik's sum of voltage score from the Frank lead electrocardiogram (r . 0.44). Rautaharju's Cardiac Infarction Injury Score did not reliably predict presence of infarction in the patient group, nor did it correlate well with ejection fraction (r . -0.49). None of the correlations were significantly improved when only patients with a history of a myocardial infarction, a thallium defect compatible with a scar or a diagnostic Q wave were considered. Although Wagner's QRS score correlated best with ejection fraction, all scoring systems had limited clinical usefulness for estimating ejection fraction.

• Research Organization: Cardiology Division, University Hospital, San Diego, California
• OSTI ID: 5394203
• Journal Information: J. Am. Coll. Cardiol.; (United States), Journal Name: J. Am. Coll. Cardiol.; (United States) Vol. 1:6; ISSN JACCD
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
CARDIOVASCULAR DISEASES
COMPARATIVE EVALUATIONS
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
DISEASES
DYNAMIC FUNCTION STUDIES
ELEMENTS
MEDICINE
METALS
MYOCARDIAL INFARCTION
NUCLEAR MEDICINE
RADIOLOGY
THALLIUM
USES