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Identifying patients with potential to benefit from implantable cardioverter defibrillator (ICD) therapy is challenging. Myocardial scar detected using cardiovascular myocardial resonance imaging with late gadolinium enhancement (CMR-LGE) is associated with ventricular arrhythmia. Its use is constrained due to limited availability, unlike electrocardiogram (ECG) which is widely available. Selvester QRS scoring detects scar, although the reported performance varies. The study aims were to determine whether QRS score (a) detects scar (b) varies with scar characteristics, and (c) can meaningfully predict sudden cardiac death.

Can QRS scoring predict left ventricular scar and clinical outcomes?