Acute Coronary Syndrome (ACS) - Risk Score Tools: Difference between revisions

Revision as of 19:39, 11 November 2020

DIAGNOSTIC TOOLS

Criteria to diagnose acute MI in patients with prior LBBB.

It's often difficult to identify an MI for patients with existing left bundle branch blocks (LBBB). About 1 in 200 patients with MI have LBBB. Sgarbossa's is a well accepted approach at determining which LBBB are having an MI.

PROGNOSTIC TOOLS

TIMI Risk Index (MD-Calc)

Provides mortality estimate in patients with ACS using only blood pressure, heart rate, and age.

A simple calculator to predict 30-day mortality, which has been well validated against a registry of 150,000 STEMI patients, and shown to have a very good discriminatory capacity. It was also validated against a registry of over 300,000 NSTEMI patients. It has been shown to both predict in-hospital and long-term mortality.

TIMI Risk Score for UA/NSTEMI (MD-Calc)

Estimates mortality for patients with unstable angina and non-ST elevation MI.

Can be used to help risk stratify patients with presumed ischemic chest pain. However, it was originally derived in patients with confirmed unstable angina or non-ST elevation myocardial infarction.

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 == DIAGNOSTIC TOOLS ==
-Diagnosing STEMI in setting of chronic LBBB
+<br>
-: MD-Calc:  [[Sgarbossa's Criteria for MI in Left Bundle Branch Block|''Sgarbossa's Criteria for MI in Left Bundle Branch Block'']]
+: [https://www.mdcalc.com/sgarbossas-criteria-mi-left-bundle-branch-block '''Sgarbossa's Criteria'''] (MD-Calc)
+::  Criteria to diagnose acute MI in patients with prior LBBB.
+::: ''It's often difficult to identify an MI for patients with existing left bundle branch blocks (LBBB). About 1 in 200 patients with MI have LBBB. Sgarbossa's is a well accepted approach at determining which LBBB are having an MI.''
+<br>
+<br>
 == PROGNOSTIC TOOLS ==
-NSTE-ACS Risk Scores
+<br>
-: MD-Calc:  [https://www.mdcalc.com/timi-risk-score-ua-nstemi ''TIMI Risk Score for UA/NSTEMI'']
+: [https://www.mdcalc.com/timi-risk-index '''TIMI Risk Index'''] (MD-Calc)
+::Provides mortality estimate in patients with ACS using only blood pressure, heart rate, and age.
+:::''A simple calculator to predict 30-day mortality, which has been well validated against a registry of 150,000 STEMI patients, and shown to have a very good discriminatory capacity. It was also validated against a registry of over 300,000 NSTEMI patients. It has been shown to both predict in-hospital and long-term mortality.''
+<br>
+: [https://www.mdcalc.com/timi-risk-score-ua-nstemi '''TIMI Risk Score for UA/NSTEMI'''] (MD-Calc)
+::Estimates mortality for patients with unstable angina and non-ST elevation MI.
+:::''Can be used to help risk stratify patients with presumed ischemic chest pain. However, it was originally derived in patients with confirmed unstable angina or non-ST elevation myocardial infarction.''