Acute Coronary Syndrome (ACS) - Risk Score Tools: Difference between revisions
From Guide to YKHC Medical Practices
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== DIAGNOSTIC TOOLS == | == DIAGNOSTIC TOOLS == | ||
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:: Criteria to diagnose acute MI in patients with prior LBBB. | :: 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.'' | ::: ''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.'' | ||
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== PROGNOSTIC TOOLS == | == PROGNOSTIC TOOLS == | ||
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Revision as of 19:48, 11 November 2020
DIAGNOSTIC TOOLS
- 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.
- Criteria to diagnose acute MI in patients with prior LBBB.
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.
- Provides mortality estimate in patients with ACS using only blood pressure, heart rate, and age.
- 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.
- Estimates mortality for patients with unstable angina and non-ST elevation MI.
- HEART Score for Major Cardiac Events (MD-Calc)
- Predicts 6-week risk of major adverse cardiac event.
- INSTRUCTIONS: Use in patients ≥21 years old presenting with symptoms suggestive of ACS. Do not use if new ST-segment elevation ≥1 mm or other new EKG changes, hypotension, life expectancy less than 1 year, or noncardiac medical/surgical/psychiatric illness determined by the provider to require admission.
- Predicts 6-week risk of major adverse cardiac event.
