Correlation between various parameters derived from body surface maps and ejection fraction in patients with anterior myocardial infarction.

Abstract

To determine the best map parameter to predict cardiac function, various map parameters were correlated with the left ventricular ejection fraction (EF) in patients with a previous (between 3 months and 1 year) anterior myocardial infarction, but without overt congestive heart failure or ventricular dyssynergy. From 300 consecutive patients with a previous myocardial infarction, 82 patients with only an anterior infarction and who underwent cardiac catheterization and body surface mapping were selected for this study. The maps from 100 healthy subjects were used as normal controls. Body surface maps using 87 unipolar electrodes were recorded and various parameters were derived from the Q map, the QRS departure maps, the QRS isointegral (IQRS) map, and the QRST isointegral (IQRST) maps. They were compared with the angiographically determined EF. The EF was correlated with nQ (r = -0.72), four parameters derived from the QRS departure map (r ranged from -0.73 to -0.79), two parameters derived from the IQRS map (r = -0.90 and -0.86), and two parameters derived from the IQRST map (r = -0.84 and -0.85). Some parameters derived from body surface maps were found to have a very high correlation with the EF in patients who had a previous anterior myocardial infarction.