Acute Myocardial Infarction - AMI Short Term Risk - Medical Algorithm

Age of patient

years

Body height of patient

Is the acute myocardial infarction located anteriorly?

Yes

Is the acute myocardial infarction located inferiorly?

Yes

Systolic blood pressure

mm Hg

Heart rate

beats/minute

QRS duration

Does the patient have diabetes mellitus?

Yes

Has the patient had a previous coronary artery bypass operation?

Yes

Killip class (1 to 4)

Does the initial ECG show evidence of previous myocardial infarct?

Yes

ST wave deviation in each lead (may be positive or negative)

III

AVR

AVL

AVF

Results

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Results Interpretation and Description References Next Steps

Sum of absolute ST-segment deviations in mm

Data complete?

Sum of points for all risk factors

Probability of 30-day mortality

Probability from equations

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Other Testing
- Probability of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block Using the Criteria of Sgarbossa et al
- CART ECG Algorithms of Lehmann et al for Identifying the Occluded Artery in a Patient with an Acute Myocardial Infarction
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Predictive Instrument of Wei et al for Evaluating a Patient in the Emergency Room with Chest Pain
- Screening Criteria of Anderson et al for Separating Anterior and Inferior Myocardial Infarcts

Therapy

Selection

Monitoring

Complication Detection
- Risk Assessment Scheme of Ellis et al for Outcome After Percutaneous Coronary Intervention (PCI)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Acute Myocardial Infarction (AMI) Short Term Mortality Risk

Purpose: To predict short term mortality risk for a patient after an acute myocardial infarction using the initial electrocardiogram at presentation.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10