Sensitivity of a set of myocardial infarction screening criteria in patients with anatomically documented single and multiple infarcts

Academic Article


  • A subset of 3 screening criteria (Q wave ≥30 ms in lead aVF, any Q or R wave ≤10 ms and ≤0.1 mV in lead V2, and R wave >-40 ms in V1) has been proposed to identify single nonacute myocardial infarcts. Cumulatively, these 3 criteria achieved 95% specificity, and 84 and 77% sensitivities for inferior and anterior myocardial infarcts, respectively, among patients identified by coronary angiography and left ventriculography. This study establishes the true sensitivities of the set of screening criteria in 71 patients with anatomically proven single myocardial infarcts and 32 patients with multiple myocardial infarcts. In the single inferior infarct group, the aVF criterion was 90% sensitive. The V2 criterion (any Q or R wave ≤10 ms and ≤0.1 mV) was 67% sensitive in the single anterior infarct group. No single criterion proved sensitive in identifying a posterolateral infarct. The set of screening criteria performed just as well for multiple infarcts as it did for single infarcts, with a cumulative sensitivity of 72%. The overall sensitivity of the screening set in the 103 patients in all groups was 71%. © 1990.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Sevilla DC; Wagner NB; Anderson WD; Ideker RE; Reimer KA; Mikat EM; Hackel DB; Selvester RH; Wagner GS
  • Start Page

  • 792
  • End Page

  • 795
  • Volume

  • 66
  • Issue

  • 10