TITLE:
The Role of Electrocardiogram DETERMINE Score in Prediction of Coronary Artery Disease Severity
AUTHORS:
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
KEYWORDS:
Electrocardiogram DETERMINE Score, Coronary Artery Disease, Outcome, Acute Myocardial Infarction, Coronary Artery Bypass Grafting
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.14 No.9,
September
18,
2024
ABSTRACT: 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.