Persson et al developed two scores for evaluating the long-term prognosis for a patient with acute coronary syndrome (ACS). The authors are from University Hospital Gothenburg (Sweden), University Hospital Lorenskog (Norway), University of Oslo, and Karolinska University Hospital.
Parameters:
(1) grade of mitral regurgitation (MR, which may be related to papillary muscle dysfunction)
(2) left ventricular ejection fraction (LVEF)
(3) BNP in pmol/L (Biosite Diagnostics)
|
Parameter |
Finding |
Points |
|
grade of mitral regurgitation |
none or Grade 1 |
0 |
|
|
Grade 2 to 4 |
1 |
|
left ventricular ejection fraction |
>= 40% |
0 |
|
|
< 40% |
1 |
|
BNP |
<= 373 pmol/L |
0 |
|
|
> 373 pmol/L |
1 |
score 1 =
= (points for MR) + (points for LVEF) + (points for BNP)
score 2 =
= (points for MR) + (points for LVEF)
Interpretation:
• minimum scores: 0
• maximum score 1: 3
• maximum score 2: 2
|
Score 1 |
10 Year Mortality |
|
0 |
24% |
|
1 |
49% |
|
2 or 3 |
73% |
|
Score 2 |
10 Year Mortality |
|
0 |
27% |
|
1 |
61% |
|
2 |
87% |
where:
• Expanding mortality predictions for score 1 to cover all 7 combinations might be interesting.
Purpose: To predict the 10 year mortality rate for a patient with an acute coronary syndrome (ACS) using the scores of Persson et al.
Specialty: Cardiology
Objective: criteria for diagnosis, severity, prognosis, stage, disease progression, complication detection
ICD-10: I24, I24.9,
