Correlation between Selvester QRS Score and Major Adverse Cardiovascular Events in Patients with Acute ST-Segment Elevation Myocardial Infarction after Percutaneous Coronary Intervention
Correlation between Selvester QRS Score and Major Adverse Cardiovascular Events in Patients with Acute ST-Segment Elevation Myocardial Infarction after Percutaneous Coronary Intervention
Objectives To investigate the correlation between Selvester QRS score and major adverse cardiovascular events(MACE)in patients with acute ST-segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods The STEMI patients undergoing PCI were consecutively enrolled from January 2016 to May 2018 in The Second Affiliated Hospital of Kunming Medical University.They were divided into groups according to with or without MACE and followed up for 3 years.The Selvester QRS score was calculated at discharge.Results Of all 468 patients included in this study,116(24.79%)developed MACE.The Selvester QRS score were higher in MACE group than that in non-MACE group(P<0.000).In a binary Logistic regression analysis,the Selvester QRS score(OR=1.235,95%CI:1.093-1.394,P=0.001)was found as an independent predictor of MACE in STEMI patients.Receiver operating characteristic curve(ROC)analysis evaluated that the diagnostic value of Selvester QRS score combined with left ventricular ejection fraction(LVEF)was with a sensitivity of 69.5%and a specificity of 96.6%.Further analysis showed that patients with Selvester QRS score≥6.5 had a higher incidence of MACE than patients with Selvester QRS score<6.5(P<0.01).Conclusions The Selvester QRS score has a good predictive value for MACE in STEMI patients undergoing PCI.
维普
万方数据