Isaak et al reported the PE2RT score for predicting outcome in patients with takotsubo syndrome. The authors are from University Hospital Bonn.
PE2RT is an acronym for pleural effusion (PE), pericardial effusion (PE), right ventricular involvement (R) and ventricular thrombus (T).
Patient selection: takotsubo syndrome
Evaluation: cardiac magnetic resonance (CMR)
Parameters:
(1) pleural effusion in mm
(2) pericardial effusion in mm
(3) right ventricular involvement with visual right wall motion abnormalities
(4) ventricular thrombus
|
Parameter
|
Finding
|
Points
|
|
pleural effusion
|
<= 20 mm
|
0
|
|
|
> 20 mm
|
1
|
|
pericardial effusion
|
<= 5 mm
|
0
|
|
|
> 5 mm
|
1
|
|
RV involvement
|
no
|
0
|
|
|
yes
|
1
|
|
ventricular thrombus
|
no
|
0
|
|
|
yes
|
1
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• A score >= 2 is associated with an increased incidence of MACE (major adverse cardiac events).
|
Total Score
|
Incidence MACE at 1 Year
|
Incidence MACE at 2 Years
|
|
0 or 1
|
3%
|
7%
|
|
2 to 4
|
46%
|
52%
|
