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Dante Pazzanese Risk Score for a Patient with a Non-ST-Segment Elevation Acute Coronary Syndrome

Purpose: To predict the outcome for a patient with a non-ST segment elevation acute coronary syndrome (ACS) using the Dante Pazzanese Risk Score.

Description

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)

 


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Specialty

Objective

ICD-10