Selvester Score as a Predictor of Left Ventricular Systolic Function Recovery in ST-Segment Elevation Myocardial Infarction (STEMI) Patients with Reduced Ejection Fraction after Revascularization; MUST Egypt

Abstract Background Ischemic heart disease is the most common contributor to left ventricular dysfunction. The extent of left ventricular (LV) function varies considerably among patients with extensive coronary disease. Clinical, demographic, and angiographic characteristics differ among patients and are predictive of LV ejection fraction has not been determined. Early identification, preferably in the emergency department (ED), of patients at the highest risk for developing left ventricular (LV) dysfunction could serve to inform the use of certain therapies. Objective To assess the correlation between the Selvester score and the myocardial dysfunction by echocardiography to predict left ventricular dysfunction improvement in patients with anterior STEMI and reduced EF. Patients and Methods This prospective observational study was done on 54 patients with acute anterior STEMI with LVSD. All patients were subjected to full history taking a full general examination Further, reperfusion strategy, twelve lead surface ECG, and echocardiography data were performed for all patients. Results The difference in the Selvester Score on discharge and after three months showed no statistically significant correlation with LV dysfunction improvement. The studied patients demonstrated a cut-off point of ≥ 7 for the Selvester Score at discharge, the ROC analysis revealed a sensitivity of 85.71% and a specificity of 100.00%. The positive predictive value (+PV) is 100.0%, while the negative predictive value (-PV) is 79.2%. Conclusion Our findings may aid in the clinical management of patients with anterior STEMI in the early stages of their hospitalization. A high Selvester score at hospital admission can predict non-improvement of EF but can't be used alone as a follow-up after 3 months as a predictor of function improvement without Echocardiography.