American Heart Journal
Volume 146, Issue 5 , Pages 797-803 , November 2003

A modified Anderson-Wilkins electrocardiographic acuteness score for anterior or inferior myocardial infarction1

  • Bo Hedén, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University, Lund, Sweden
    • ,
  • Rasmus Ripa, MD

      Affiliations

    • Duke University Medical Center, Durham, NCUSA
    • ,
  • Eva Persson, MD

      Affiliations

    • Department of Clinical Physiology, Lund University, Lund, Sweden
    • ,
  • Qianzi Song, MSc

      Affiliations

    • Duke University Medical Center, Durham, NCUSA
    • ,
  • Charles Maynard, PhD

      Affiliations

    • University of Washington, Department of Health Services, Seattle, Wash, USA
    • ,
  • Paul Leibrandt, MD

      Affiliations

    • Duke University Medical Center, Durham, NCUSA
    • ,
  • Thomas Wall, MD

      Affiliations

    • LeBauer Research group, Moses Cone Memorial Hospital, Greensboro, NC, USA
    • ,
  • Timothy F Christian, MD

      Affiliations

    • Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn, USA
    • ,
  • Stephen C Hammill, MD

      Affiliations

    • Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn, USA
    • ,
  • Samuel S Bell, BEnvd

      Affiliations

    • Duke University Medical Center, Durham, NCUSA
    • ,
  • Olle Pahlm, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University, Lund, Sweden
    • ,
  • Galen S Wagner, MD

      Affiliations

    • Duke University Medical Center, Durham, NCUSA
    • Corresponding Author InformationReprint requests: Galen S. Wagner, MD, Duke University Medical Center, 2400 Pratt St, Rm 0306, Durham, NC 27705, USA.

Received 5 November 2002 ,Accepted 23 April 2003.

References 

  1. Ryan TJ, Antman EM, Brooks NH, et al.  1999 update (ACC/AHA guidelines for the management of patients with acute myocardial infarction: executive summary and recommendations: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction)). Circulation. 1999;100:1016–1030
  2. Raitt MH, Maynard C, Wagner GS, et al.  Appearance of abnormal Q waves early in the course of acute myocardial infarction (implications for efficacy of thrombolytic therapy). J Am Coll Cardiol. 1995;25:1084–1088
  3. Wagner NB, Wagner GS, White RD. The twelve lead ECG and the extent of myocardium at risk of acute infarction (cardiac anatomy and lead locations, and the phases of serial changes during acute occlusion). In:  Califf RM,  Mark DB,  Wagner GS editor. Acute Coronary Care in the Thrombolytic Era. Chicago: Year Book Medical Publishers; 1998;p. 31–45
  4. Anderson ST, Wilkins M, Weaver WD, et al.  Electrocardiographic phasing of acute myocardial infarction. J Electrocardiol. 1992;25(Suppl):3–5
  5. Wilkins ML, Pryor AD, Maynard C, et al.  An electrocardiographic acuteness score for quantifying the timing of a myocardial infarction to guide decisions regarding reperfusion therapy. Am J Cardiol. 1995;75:617–620
  6. Corey KE, Maynard C, Pahlm O, et al.  Combined historical and electrocardiographic timing of acute anterior and inferior myocardial infarcts for prediction of reperfusion achievable size limitation. Am J Cardiol. 1999;83:826–831
  7. Gambill CL, Wilkins ML, Haisty WK, et al.  T wave amplitudes in normal populations (variation with ECG lead, sex, and age). J Electrocardiol. 1995;28:191–197
  8. Hindman NB, Schocken DD, Widmann M, et al.  Evaluation of a QRS scoring system for estimating myocardial infarct size (V: specificity and method of application of the complete system). Am J Cardiol. 1985;55:1485–1490
  9. Aldrich HR, Hindman NB, Hinohara T, et al.  Identification of the optimal electrocardiographic leads for detecting acute epicardial injury in acute myocardial infarction. Am J Cardiol. 1987;59:20–23
  10. Aldrich HR, Wagner NB, Boswick J, et al.  Use of initial ST-segment deviation for prediction of final electrocardiographic size of acute myocardial infarcts. Am J Cardiol. 1988;61:749–753
  11. The Global Use of Stategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes (GUSTO IIb) Angioplasty Substudy Investigators . A clinical trial comparing primary coronary angioplasty with tissue plasminogen activator for acute myocardial infarction. N Engl J Med. 1997;336:1621–1628
  12. Marroquin OC, Lamas GA. Beneficial effect of an open artery on left ventricle remodeling after myocardial infarction. Prog Cardio-vasc Dis. 2000;42:471–483
  13. Wagner NB, Sevilla DC, Krucoff MW, et al.  Transient alterations of the QRS complex and ST segment during percutaneous transluminal balloon angioplasty of the left anterior descending coronary artery. Am J Cardiol. 1988;62:1038–1042

☆ This study was supported by grants from the Faculty of Medicine, University of Lund, Lund, Sweden.

PII: S0002-8703(03)00404-6

doi: 10.1016/S0002-8703(03)00404-6

American Heart Journal
Volume 146, Issue 5 , Pages 797-803 , November 2003

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