SELVESTER SCORE AS A PREDICTOR OF LEFT VENTRICULAR SYSTOLIC FUNCTION RECOVERY IN ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI)

Mahmoud Tantawy, MD*, Alaa Ahmed Abdel Fattah, Ahmed Fathy Tamara, MD and
Ibrahim Abdel Hamid Ibrahim, MD

ABSTRACT

Background: Ischemic heart disease is the most common contributor to left ventricular dysfunction. The extent of left ventricular (LV) function varies considerably among patients with extensive coronary disease of patients at the highest risk for developing left ventricular (LV) dysfunction could serve to inform the use of certain therapies. Objective: The aim of this study is to assess the correlation between the Selvester score and the left ventricular dysfunction improvement in patients with anterior STEMI and reduced EF. Patients and Methods: This prospective observational study was done on patients with acute anterior STEMI with LVSD. All patients were subjected to full history taking, twelve lead surface ECG, and echocardiography data were performed for all patients. Results: The difference in the Selvester Score on discharge and after three months showed no statistically significant correlation with LV dysfunction improvement. The studied patients demonstrated a cut-off point of ≥7 for the Selvester Score at discharge, the ROC analysis revealed a sensitivity of 85.71% and a specificity of 100.00%. The positive predictive value (+PV) is 100.0%, while the negative predictive value (-PV) is 79.2%. Conclusion: Our study and suggest that high selvester score at hospital discharge in patients with STEMI whom underwent primary PCI is associated with poor LV systolic function recovery after 3months.

Keywords: ST-Segment Elevation Myocardial Infarction, left ventricular.