The Role of Electrocardiogram DETERMINE Score in Prediction of Coronary Artery Disease Severity

作     者：Ismail N. El-Sokkary Essam Ahmed Khalil Mohammed Wael Badawi Ibrahim K. Gamil Shousha Abdalla A. Elsebaey Mohamed Kamal Rehan Mahmoud Ibrahim Elshamy Yasser Ahmed Sadek Ismail N. El-Sokkary;Essam Ahmed Khalil;Mohammed Wael Badawi;Ibrahim K. Gamil;Shousha Abdalla A. Elsebaey;Mohamed Kamal Rehan;Mahmoud Ibrahim Elshamy;Yasser Ahmed Sadek

作者机构：Department of Cardiovascular & Thoracic Surgery Faculty of Medicine Al-Azhar University Cairo Egypt Department of Cardiology Al-Azhar University Cairo Egypt Department of Internal Medicine Beni-Sueif University Beni Suef Egypt Department of Radiology Al-Azhar University Cairo Egypt Department of Cardiology Helwan University Cairo Egypt 

出 版 物：《World Journal of Cardiovascular Diseases》 (心血管病（英文）)

年 卷 期：2024年第14卷第9期

页      面：567-580页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Electrocardiogram DETERMINE Score Coronary Artery Disease Outcome Acute Myocardial Infarction Coronary Artery Bypass Grafting 

摘      要：Background: A major cause of mortality and disability on a global scale is myocardial infarction (MI). These days, the most reliable way to detect and measure MI is via cardiovascular magnetic resonance imaging (CMR). Aims and Objectives : To evaluate the effectiveness of the Electrocardiogram DETERMINE Score in predicting the severity of coronary artery disease (CAD) in patients who have experienced an Acute Myocardial Infarction (AMI) & to assess improvements in left ventricular function at 6 months following coronary artery bypass grafting (CABG). Subjects and Methods : This Observational cohort study was done at the Cardiology and Radiology department and cardiac surgery department, Al-Azhar university hospitals and Helwan University hospital. The study involved 700 cases who patients diagnosed with Acute Myocardial Infarction and fulfilled specific criteria for selection. Result : There was highly statistically significant relation between Myocardial infarction size and ECG Marker Score as mean infarct size elevated When the number of ECG markers increased. There was a highly statistically significant relation between myocardial infarct segments, myocardial infarction size and improvement of cardiac function 6 months post-CABG. Conclusion: The study found that larger myocardial infarctions corresponded with higher DETERMINE Scores. It concluded that an ECG-based score better estimates infarct size than LVEF alone. Additionally, there was a significant statistical correlation between the size and segmentation of myocardial infarction and better cardiac function six months after CABG.