Acute Coronary Syndrome (ACS) - Risk Score Tools
From Guide to YKHC Medical Practices
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.
