Filipiak et al developed the Banach score for evaluating Polish adults with chest pain. The authors are from the Central University Hospital and Medical University of Warsaw.
Banach refers to Professor Stefan Banach who was a Polish mathematician in the 20th Century. Central University Hospital is on Banach street in Warsaw.
Patient selection: adult with acute chest pain
Parameters:
(1) age in years
(2) heart rate in beats per minute on admission
(3) systolic blood pressure in mm Hg
(4) aborted sudden cardiac death before or on admission
(5) de novo angina within past 2 weeks (first episode of chest pain in the 2 weeks before admission without other coronary history)
(6) pulmonary edema before or on admission (Killip Class II, III or IV)
(7) history of heart failure with NYHA Class III or IV
(8) elevated serum troponin on admission
(9) His bundle block on admission ECG
(10) ST depression >=1.0 mV in any lead of admission ECG
(11) ST segment elevation in anterolateral leads (V1 to V6) of admission ECG
(12) Q wave in any lead of admission ECG (defined as >= 0.4 sec or one third of the height of the R wave)
|
Parameter |
Finding |
Points |
|
age in years |
<= 65 years |
0 |
|
|
> 65 years |
1 |
|
heart rate |
<= 78 beats per minute |
0 |
|
|
> 78 beats per minute |
1 |
|
systolic blood pressure |
<= 130 mm Hg |
0 |
|
|
> 130 mm Hg |
-1 |
|
aborted sudden death |
no |
0 |
|
|
yes |
1 |
|
de novo angina |
no |
0 |
|
|
yes |
-1 |
|
pulmonary edema |
no |
0 |
|
|
yes |
1 |
|
history of NYHA Class III or IV heart failure |
no |
0 |
|
|
yes |
1 |
|
serum troponin on admission |
no |
0 |
|
|
yes |
1 |
|
His bundle block |
no |
0 |
|
|
yes |
1 |
|
ST depression in any lead |
no |
0 |
|
|
yes |
1 |
|
ST elevation in antero-lateral leads |
no |
0 |
|
|
yes |
1 |
|
Q wave in any lead |
no |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 12 parameters)
Interpretation:
• minimum score: -2
• maximum score: 10
• The higher the score the greater the 1-year mortality risk.
|
Score |
1-Year Mortality |
|
-2 to 1 |
low |
|
2 or 3 |
average |
|
4 to 10 |
high |
Specialty: Cardiology
