Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging

Joseph Allencherril; Yama Fakhri; Henrik Engblom; Einar Heiberg; Marcus Carlsson; Jean-Luc Dubois-Rande; Sigrun Halvorsen; Trygve S Hall; Alf-Inge Larsen; Svend Eggert Jensen; Hakan Arheden; Dan Atar; Peter Clemmensen; Dipan J Shah; Benjamin Cheong; Maria Sejersten; Yochai Birnbaum

doi:10.1016/j.jelectrocard.2017.09.013

Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging

Joseph Allencherril, Yama Fakhri, Henrik Engblom, Einar Heiberg, Marcus Carlsson, Jean-Luc Dubois-Rande, Sigrun Halvorsen, Trygve S Hall, Alf-Inge Larsen, Svend Eggert Jensen, Hakan Arheden, Dan Atar, Peter Clemmensen, Dipan J Shah, Benjamin Cheong, Maria Sejersten, Yochai Birnbaum

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Abstract

BACKGROUND: In traditional literature, it appears that "anteroseptal" MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.

METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).

RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.

CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. "Anteroapical infarction" is a more appropriate term than "anteroseptal infarction."

Original language	English
Journal	Journal of Electrocardiology
Volume	51
Issue number	2
Pages (from-to)	218-223
Number of pages	6
ISSN	0022-0736
DOIs	https://doi.org/10.1016/j.jelectrocard.2017.09.013
Publication status	Published - 2018

Keywords

Anterior wall myocardial infarction
Anteroseptal myocardial infarction
Electrocardiography
Magnetic resonance imaging
Myocardial infarction
Q waves

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Appropriateness_of_anteroseptal_myocardial_infarction_nomenclature_evaluated_by_late_gadolinium_enhancement_cardiovascular_magnetic_resonance_imagingAccepted author manuscript, 365 KBLicence: CC BY-NC-ND 4.0

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Allencherril, J., Fakhri, Y., Engblom, H., Heiberg, E., Carlsson, M., Dubois-Rande, J-L., Halvorsen, S., Hall, T. S., Larsen, A-I., Jensen, S. E., Arheden, H., Atar, D., Clemmensen, P., Shah, D. J., Cheong, B., Sejersten, M., & Birnbaum, Y. (2018). Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging. Journal of Electrocardiology, 51(2), 218-223. Advance online publication. https://doi.org/10.1016/j.jelectrocard.2017.09.013

@article{d89a81382bfa459babe7c4cd8cd20d1a,

title = "Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging",

abstract = "BACKGROUND: In traditional literature, it appears that {"}anteroseptal{"} MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. {"}Anteroapical infarction{"} is a more appropriate term than {"}anteroseptal infarction.{"}",

keywords = "Anterior wall myocardial infarction, Anteroseptal myocardial infarction, Electrocardiography, Magnetic resonance imaging, Myocardial infarction, Q waves",

author = "Joseph Allencherril and Yama Fakhri and Henrik Engblom and Einar Heiberg and Marcus Carlsson and Jean-Luc Dubois-Rande and Sigrun Halvorsen and Hall, {Trygve S} and Alf-Inge Larsen and Jensen, {Svend Eggert} and Hakan Arheden and Dan Atar and Peter Clemmensen and Shah, {Dipan J} and Benjamin Cheong and Maria Sejersten and Yochai Birnbaum",

year = "2018",

doi = "10.1016/j.jelectrocard.2017.09.013",

language = "English",

volume = "51",

pages = "218--223",

journal = "Journal of Electrocardiology",

issn = "0022-0736",

publisher = "Churchill Livingstone",

number = "2",

}

Allencherril, J, Fakhri, Y, Engblom, H, Heiberg, E, Carlsson, M, Dubois-Rande, J-L, Halvorsen, S, Hall, TS, Larsen, A-I, Jensen, SE, Arheden, H, Atar, D, Clemmensen, P, Shah, DJ, Cheong, B, Sejersten, M & Birnbaum, Y 2018, 'Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging', Journal of Electrocardiology, vol. 51, no. 2, pp. 218-223. https://doi.org/10.1016/j.jelectrocard.2017.09.013

TY - JOUR

T1 - Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging

AU - Allencherril, Joseph

AU - Fakhri, Yama

AU - Engblom, Henrik

AU - Heiberg, Einar

AU - Carlsson, Marcus

AU - Dubois-Rande, Jean-Luc

AU - Halvorsen, Sigrun

AU - Hall, Trygve S

AU - Larsen, Alf-Inge

AU - Jensen, Svend Eggert

AU - Arheden, Hakan

AU - Atar, Dan

AU - Clemmensen, Peter

AU - Shah, Dipan J

AU - Cheong, Benjamin

AU - Sejersten, Maria

AU - Birnbaum, Yochai

PY - 2018

Y1 - 2018

N2 - BACKGROUND: In traditional literature, it appears that "anteroseptal" MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. "Anteroapical infarction" is a more appropriate term than "anteroseptal infarction."

AB - BACKGROUND: In traditional literature, it appears that "anteroseptal" MIs with Q waves in V1-V3 involve basal anteroseptal segments although studies have questioned this belief.METHODS: We studied patients with first acute anterior Q-wave (>30ms) MI. All underwent late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI).RESULTS: Those with Q waves in V1-V2 (n=7) evidenced LGE >50% in 0%, 43%, 43%, 57%, and 29% of the basal anteroseptal, mid anteroseptal, apical anterior, apical septal segments, and apex, respectively. Patients with Q waves in V1-V3 (n=14), evidenced involvement was 14%, 43%, 43%, 50%, and 7% of the same respective segments. In those with extensive anterior Q waves (n=7), involvement was 0%, 71%, 57%, 86%, and 86%.CONCLUSIONS: Q-wave MI in V1-V2/V3 primarily involves mid- and apical anterior and anteroseptal segments rather than basal segments. Data do not support existence of isolated basal anteroseptal or septal infarction. "Anteroapical infarction" is a more appropriate term than "anteroseptal infarction."

KW - Anterior wall myocardial infarction

KW - Anteroseptal myocardial infarction

KW - Electrocardiography

KW - Magnetic resonance imaging

KW - Myocardial infarction

KW - Q waves

UR - http://www.scopus.com/inward/record.url?scp=85034967746&partnerID=8YFLogxK

U2 - 10.1016/j.jelectrocard.2017.09.013

DO - 10.1016/j.jelectrocard.2017.09.013

M3 - Journal article

C2 - 29103621

SN - 0022-0736

VL - 51

SP - 218

EP - 223

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

IS - 2

ER -

Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging

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