The PAINESD score can identify a patient at risk for acute hemodynamic decompensation during catheter ablation of scar-related ventricular tachycardia or other procedures.
Parameters:
(1) pulmonary disease (COPD, P)
(2) age (A)
(3) ischemic cardiomyopathy (I)
(4) NYHA functional class (N)
(5) left ventricular ejection fraction (E)
(6) presentation with VT electrical storm (S)
(7) diabetes mellitus (D)
Parameter
Finding
Points
COPD
absent
0
present
5
age
<= 60 years
0
> 60 years
3
ischemic cardiomyopathy
absent
0
present
6
NYHA class
I or II
0
III or IV
6
LV ejection fraction
>= 25%
0
< 25%
3
electrical storm presentation
absent
0
present
5
diabetes mellitus
absent
0
present
3
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 31
• The higher the score the greater the risk of mortality.
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