dos Santos et al developed a risk score for non-ST segment elevation acute coronary syndrome (ACS). This can identify a patient who may benefit from more aggressive management. The authors are from Instituto Dante Pazzanese de Cardiologia in Sao Paulo.
Patient selection: non-ST segment elevation acute coronary sydrome
Outcome: death or re-infarction within 30 days
Parameters:
(1) age in years
(2) history of diabetes mellitus
(3) history of stroke
(4) history of angiotensin converting enzyme inhibitor (ACEI)
(5) cardiac troponin I AND ECG
(6) serum creatinine in mg/dL
|
Parameters |
Findings |
Points |
|---|---|---|
|
age in years |
< 40 years of age |
0 |
|
|
40 to 49.9 years of age |
1 |
|
|
50 to 59.9 years of age |
2 |
|
|
60 to 69.9 years of age |
3 |
|
|
70 to 79.9 years of age |
4 |
|
|
80 to 89.9 years of age |
7 |
|
|
>= 90 years of age |
9 |
|
history of diabetes mellitus |
no |
0 |
|
|
yes |
2 |
|
history of stroke |
no |
0 |
|
|
yes |
4 |
|
history of ACEI therapy |
yes |
0 |
|
|
no |
1 |
|
cardiac troponin AND ECG |
normal troponin AND no ST-segment depression |
0 |
|
|
normal troponin AND ST segment dpression |
1 |
|
|
elevated troponin AND no ST segment depression |
3 |
|
|
elevated troponin AND ST segment depression |
4 |
|
serum creatinine |
< 1 mg/dL |
0 |
|
|
1 to 1.99 mg/dL |
1 |
|
|
2 to 3.99 mg/dL |
4 |
|
|
>= 4 mg/dL |
10 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 30
• The higher the score the greater the risk of a poor outcome.
|
Total Score |
Risk Poor Outcome |
|---|---|
|
0 to 30 |
MIN(100, (0.1757 * ((points)^2)) - (0.898 * (points)) + 1.98) |
Purpose: To predict the outcome for a patient with a non-ST segment elevation acute coronary syndrome (ACS) using the Dante Pazzanese Risk Score.
Specialty: Cardiology
Objective: risk factors, severity, prognosis, stage, complications, selection
ICD-10: I20, I21,
