Based on clinical data available at hospital admission, it is possible to assess a patient's mortality risk in acute myocardial infarction.
Parameters:
(1) age in years
(2) location of the infarct
(3) ventricular function
Parameter |
Finding |
Value |
age in years |
|
(age in years) |
location of infarct |
anterior |
1 |
|
other than anterior |
0 |
ventricular function |
cardiogenic shock |
4 |
|
acute pulmonary edema |
3 |
|
rales up to scapular level |
2 |
|
basilar rales |
1 |
|
no pulmonary rales |
0 |
prognostic index =
= 5.9019 - (0.0369 * (age in years)) - (0.5708 * (location)) - (0.8961 * (ventricular function))
Interpretation:
• prognostic index > 3: low risk, with mortality rate approximately 4%
• prognostic index > 1 to <= 3: intermediate risk, with mortality rate approximately 18%
• prognostic index <= 1: high risk, with mortality rate approximately 51%
Specialty: Cardiology
ICD-10: ,