Valeur et al reported the DANAMI score for patients with acute myocardial infarction. The authors are from Copenhagen University Hospital.
Patient selection: ST-elevation myocardial infarction (STEMI)
Parameters:
(1) history of or new signs of heart failure
(2) left ventricular ejection fraction in percent
(3) age and sex
(4) exercise capacity in METs and sex
|
Parameter
|
Finding
|
Points
|
|
heart failure
|
no
|
0
|
|
|
yes
|
1
|
|
LVEF
|
>= 40%
|
0
|
|
|
< 40%
|
1
|
|
age and sex
|
<= 65 and male
|
0
|
|
|
> 65 and male
|
1
|
|
|
<= 70 and female
|
0
|
|
|
> 70 and female
|
1
|
|
exercise capacity and sex
|
>= 5 METs and male
|
0
|
|
|
< 5 METs and male
|
1
|
|
|
>= 4 METs and female
|
0
|
|
|
< 4 METs and female
|
1
|
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
|
Total Score
|
Risk
|
|
0 or 1
|
low
|
|
2
|
medium
|
|
3 or 4
|
high
|
Performance:
• The area under the ROC curve is 0.79.
