%0 Journal Article
%T The Role of Electrocardiogram DETERMINE Score in Prediction of Coronary Artery Disease Severity
%A Ismail N. El-Sokkary
%A Essam Ahmed Khalil
%A Mohammed Wael Badawi
%A Ibrahim K. Gamil
%A Shousha Abdalla A. Elsebaey
%A Mohamed Kamal Rehan
%A Mahmoud Ibrahim Elshamy
%A Yasser Ahmed Sadek
%J World Journal of Cardiovascular Diseases
%P 567-580
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.149049
%X <b>Background:</b> 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). <b>Aims and </b><b>Objectives</b><b>:</b> 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). <b>Subjects and </b><b>Methods</b><b>:</b> 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. <b>Result</b><b>:</b> 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. <b>Conclusion:</b> 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.
%K Electrocardiogram DETERMINE Score
%K Coronary Artery Disease
%K Outcome
%K Acute Myocardial Infarction
%K Coronary Artery Bypass Grafting
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=136023