Bossaert et al used a noninvasive score for determining if reperfusion was achieved following thrombolysis in a patient with an acute myocardial infarction. The authors are from the University of Antwerp in Belgium.
Parameters:
(1) change in chest pain
(2) change in ST segments
(3) reperfusion arrhythmia
Parameter |
Finding |
Points |
chest pain change |
no reperfusion (continued) |
0 |
|
possible reperfusion |
1 |
|
reperfusion (resolution of chest pain) |
2 |
ST segment change |
no reperfusion (unchanged or increased) |
0 |
|
possible reperfusion |
1 |
|
reperfusion (decreased) |
2 |
reperfusion arrhythmia |
absent |
0 |
|
present |
2 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score 6
• The higher the score the more likely reperfusion has occurred.
Total Score |
Interpretation |
0 or 1 |
no perfusion |
2 or 3 |
possible reperfusion |
4, 5 or 6 |
reperfusion |
Specialty: Cardiology
ICD-10: ,