Clinical use of the combined Sclarovsky Birnbaum Severity and Anderson Wilkins Acuteness scores from the pre-hospital ECG in ST-segment elevation myocardial infarction

Yama Fakhri; Mikkel M Schoos; Peter Clemmensen; Maria Sejersten

doi:10.1016/j.jelectrocard.2014.03.009

Clinical use of the combined Sclarovsky Birnbaum Severity and Anderson Wilkins Acuteness scores from the pre-hospital ECG in ST-segment elevation myocardial infarction

J Electrocardiol. 2014 Jul-Aug;47(4):566-70. doi: 10.1016/j.jelectrocard.2014.03.009. Epub 2014 Mar 30.

Authors

Yama Fakhri¹, Mikkel M Schoos², Peter Clemmensen², Maria Sejersten³

Affiliations

¹ Department of Cardiology, Rigshospitalet, University Hospital, Copenhagen, Denmark. Electronic address: yfakhri@gmail.com.
² Department of Cardiology, Rigshospitalet, University Hospital, Copenhagen, Denmark.
³ Department of Cardiology, Roskilde Hospital, University of Copenhagen, Copenhagen, Denmark.

PMID: 24792905
DOI: 10.1016/j.jelectrocard.2014.03.009

Abstract

This review summarizes the electrocardiographic changes during an evolving ST segment elevation myocardial infarction and discusses associated electrocardiographic scores and the potential use of these indices in clinical practice, in particular the ECG scores developed by Anderson and Wilkins estimating the acuteness of myocardial ischemia and Sclarovsky-Birnbaum's grades of ischemia evaluating the severity of ongoing ischemia.

Keywords: Anderson Wilkins acuteness score; Pre-hospital ECG; STEMI; Sclarovsky Birnbaum Severity Grades of Ischemia.

Publication types

Review

MeSH terms

Algorithms*
Diagnosis, Computer-Assisted / methods*
Electrocardiography / methods*
Emergency Medical Services / methods*
Humans
Myocardial Infarction / diagnosis*
Observer Variation
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index*