| The Mayo Clinic Risk Score predicts in-hospital mortality following primary angioplasty. | |
| | |
MedLine Citation:
|
PMID: 16204745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The Mayo Clinic Risk Score (MCRS) is a validated numeric score that predicts outcome following primary percutaneous coronary intervention (PCI). PURPOSE: We evaluated the ability of MCRS to risk stratify patients undergoing primary angioplasty. METHODS: Patients undergoing primary angioplasty within 6 hours of the onset of chest pain in the New York State percutaneous coronary intervention reporting system (n = 3,005) had their MCRS calculated using predictive variables: age, presence of cardiogenic shock, renal failure, class III-IV congestive heart failure, left main coronary disease and multivessel coronary disease. All patients were presumed to have intra-coronary thrombus and undergoing an urgent/emergent procedure. Based on the MCRS, patients were classified into five risk categories: very low-risk (MCRS < 5), low risk (6-8), moderate (9-11), high (12-14) and very high risk (15-25). RESULTS: The mean age of the study population was 62 years, 70% were male; stents were used in 89% and glycoprotein IIb/IIIa antagonists in 72%. The prevalence of cardiogenic shock, multivessel disease and left main disease was higher in patients with MCRS > 12. Overall in-hospital mortality following primary angioplasty was 4.7%; it was 0% in the very low-risk category, 0.9% in the low-risk category, 3.2% in the moderate-risk category, 10.7% in the high-risk category, and 25.1% in the very high-risk category (p < 0.0001). The higher-risk MCRS category predicted increased risk even when 317 (10.5%) patients with cardiogenic shock were excluded from the analysis. The overall c-statistic for the prediction of in-hospital mortality by MCRS was 0.85. CONCLUSION: Increasing MCRS predicts in-hospital mortality following primary angioplasty. |
| | |
Authors:
|
Sridhar Sampath Kumar; Abdissa Negassa; E Scott Monrad; V S Srinivas |
Related Documents
:
|
11348055 - Successfully treated unstable angina pectoris in a young japanese female. 8538345 - Randomised trial of excimer laser angioplasty versus balloon angioplasty for treatment ... 2386335 - Percutaneous transluminal coronary angioplasty in octogenarians. 12238825 - In the eye of both patient and spouse: memory is poor 1 to 2 years after coronary bypas... 19376315 - Real-time 3-dimensional echocardiography early after acute myocardial infarction: incre... 11154795 - Pivotal role of nitric oxide in delayed pharmacological preconditioning against myocard... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 17 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2005 Oct |
Date Detail:
|
Created Date: 2005-10-05 Completed Date: 2006-08-31 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 522-6 Citation Subset: IM |
Affiliation:
|
Division of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angioplasty, Transluminal, Percutaneous Coronary
/
mortality* Chest Pain Chi-Square Distribution Databases, Factual Female Heart Failure / epidemiology Hospital Mortality* Humans Kidney Failure / epidemiology Logistic Models Male Middle Aged Myocardial Infarction / mortality*, therapy Prognosis Risk Assessment* Shock, Cardiogenic / epidemiology Stroke Volume |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Impact of routine in-hospital assessment of low-density lipoprotein levels and standardized orders o...
Next Document: Nonocclusive radial artery injury resulting from transradial coronary interventions: radial artery I...