Piombo et al reported a score for risk associated with unstable angina. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Buenos Aires.
Patient selection: unstable angina
Outcome: double end-point was in-hospital death or AMI
Parameters:
(1) ST segment deviation
(2) age in years
(3) previous CABG procedure
(4) serum troponin test
Parameters
Findings
Points
ST segment deviation
no
0
yes
4
age in years
< 70 years
0
>= 70 years
2
previous CABG procedure
no
0
yes
2
serum troponin test
negative
0
positive
2
total score =
= SUM(all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
Total Score
Risk Group
Outcome
0 or 2
low
2%
4 or 6
intermediate
11.4%
8 or 10
high
27.6%
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