Q-wave prediction of myocardial infarct location, size and transmural extent at magnetic resonance imaging (Articolo in rivista)

Type
Label
  • Q-wave prediction of myocardial infarct location, size and transmural extent at magnetic resonance imaging (Articolo in rivista) (literal)
Anno
  • 2007-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.1097/MCA.0b013e32820588c2 (literal)
Alternative label
  • Daniele Rovai; Gianluca Di Bella; Giuseppe Rossi; Massimo Lombardi; Giovanni Donato Aquaro; Antonio L'Abbate; Alessandro Pingitore. (2007)
    Q-wave prediction of myocardial infarct location, size and transmural extent at magnetic resonance imaging
    in Coronary artery disease; Lippincott Williams & Wilkins, Philadelphia (Stati Uniti d'America)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Daniele Rovai; Gianluca Di Bella; Giuseppe Rossi; Massimo Lombardi; Giovanni Donato Aquaro; Antonio L'Abbate; Alessandro Pingitore. (literal)
Pagina inizio
  • 381 (literal)
Pagina fine
  • 389 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url
  • http://journals.lww.com/coronary-artery/Abstract/2007/08000/Q_wave_prediction_of_myocardial_infarct_location,.9.aspx (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 18 (literal)
Rivista
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  • In: Coronary Artery Disease, vol. 18 pp. 381 - 389. Lippincott, Williams & Wilkins, 2007. (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#pagineTotali
  • 9 (literal)
Note
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • Istituto di Fisiologia Clinica, CNR, Pisa, Italy Università di Messina, Messina, Italy Scuola Superiore Sant'anna, Pisa, Italy (literal)
Titolo
  • Q-wave prediction of myocardial infarct location, size and transmural extent at magnetic resonance imaging (literal)
Abstract
  • OBJECTIVE: We investigated how pathologic Q waves or equivalents predict location, size and transmural extent of myocardial infarction (MI). METHODS: MI characteristics, detected by contrast-enhanced magnetic resonance imaging, were compared with 12-lead electrocardiogram in 79 patients with previous first MI. RESULTS: Q waves involved only the anterior leads (V1-V4) in 13 patients: in all patients MI involved the anterior and anteroseptal walls and apex; 81% of scar tissue was within these regions. Q waves involved only the inferior leads (II, III, aVF) in 13 patients: in 12 of these patients MI involved the inferior and inferoseptal walls; however, only 59% of scar occupied these regions. Q waves involved only lateral leads (V5, V6, I, aVL) in 11 patients: in nine of these patients MI involved the lateral wall but only 27% of scar tissue was within this wall. Q waves involved two electrocardiogram locations in 42 patients. In the 79 patients as a whole, the number of anterior Q waves was related to anterior MI size (r=0.70); however, the number of inferior and lateral Q waves was only weakly related to MI size in corresponding territories (r=0.35 and 0.33). A tall and broad R wave in V1-V2 was a more powerful predictor of lateral MI size than Q waves. Finally, the number of Q waves accurately reflected the transmural extent of the infarction (r=0.70) only in anterior infarctions. CONCLUSION: Q waves reliably predict MI location, size and transmural extent only in patients with anterior infarction. A tall and broad R wave in V1-V2 reflects a lateral MI. (literal)
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