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Prognostic Factors of Diderholm et al for a Patient with Unstable Coronary Artery Disease

Description

Diderholm et al reported prognostic factors for a patient with unstable coronary artery disease. These can help to identify a patient who may benefit from an invasive management strategy. The authors are from the Fast Revascularization during InStability in Coronary artery disease (FRISC II) study.


 

Patient selection: unstable coronary artery disease

 

Parameters:

(1) serum troponin T using the Roche Elecsys assay

(2) ST segment depression in ECG

 

Parameter

Finding

Points

serum troponin T

<= 0.03 µg/L

0

 

> 0.03 µg/L

1

ST segment depression

absent

0

 

present

1

 

number of risk factors =

= SUM(points for both rish factors)

 

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 2

• A patient with both risk factors has more severe coronary artery disease (in many cases either left main or 3 vessel coronary artery disease) and is more likely to benefit from an early invasive strategy.

 


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Specialty

Objective

ICD-10