Application value of positive Selvester QRS score in the treatment and prognosis of patients with stable coronary artery disease
10.3969/j.issn.1008-0074.2025.02.19
- VernacularTitle:Selvester QRS评分阳性在稳定性冠心病患者治疗和预后中的应用价值分析
- Author:
Fei JIANG
1
;
Zu-cui QING
;
Jing HAN
Author Information
1. 江苏省中医院钟山院区康疗科,江苏南京 210014
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Prognosis;
Risk factors
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(2):232-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of positive Selvester QRS score in the treatment and prognosis of pa-tients with stable coronary artery disease(SCAD).Methods:A total of 101 SCAD patients admitted in Jiangsu Province Hospital of Chinese Medicine between January 2021 and January 2023 were enrolled.The patients were followed up for 6 to 12 months.Another 100 healthy people who received physical examination in our hospital simultaneously were selected as the control group.All patients underwent percutaneous coronary intervention(PCI)and were examined using standard 12-lead ECG and analyzed for positive Selvester QRS score(≥1point).SCAD patients were divided into PCI success group(n=65)and PCI failure group(n=36)according to the results of coronary angiography.According to prognosis,the pa-tients were divided into favorable outcome group(n=60)and unfavorable outcome group(n=41).The percentage of posi-tive Selvester QRS score were compared among above-mentioned groups.Influencing factors for unfavorable outcome in SCAD patients were analyzed.Results:Compared with participants in control group,those in the SCAD group had signifi-cant higher Selvester QRS score positive rate(24.75％vs.3.00％,P＜0.001);Compared with patients in PCI success group,those in the PCI failure group had significant higher Selvester QRS score positive rate(55.56％vs.7.69％,P＜0.001);Compared with those in favorable outcome group,those in unfavorable outcome group had significant higher pro-portions of age＞60 years(56.10％ vs.25.00％),diabetes history(36.59％ vs.13.33％)and Selvester QRS score positiverate(43.90％ vs.11.67％)(P＜0.01 all).Multivariate Logistic regression analysis showed that age＞60 years old,history of diabetes and positive Selvester QRS score were independent risk factors for the unfavorable outcome of SCAD patients after PCI(OR=3.368～3.961,P＜0.05 or＜0.01).Conclusion:The positive rate of Selvester QRS score in PCI failure group is significantly higher than that in PCI success group,and positive Selvester QRS score is closely associ-ated with the unfavorable outcome of SCAD patients after PCI,which could be used as an important indicator for clinical treatment and prognosis detection of SCAD patients.
