A new coronary prognostic index

PREDICT: A Simple Risk Score for Clinical Severity and Long-Term Prognosis After Hospitalization for Acute Myocardial Infarction or Unstable Angina

“…In agreement with clinical trials, we observed that use of thrombolytic agents was associated with improved long-term survival, even though those who received thrombolysis had less severe disease and more complete hospital charts. Because the factors used in PREDICT have been shown to be predictive in other settings, [5][6][7][8][9][10][11][12][13][14][15][16][17][18] it is reasonable to believe that the PREDICT score would perform well if formed by the physician's assignment of clinical severity levels, with the sense of the rules we used in MHS. For example, elevated serum creatinine can be substituted for blood urea nitrogen in determining the kidney score, and other signs of congestive heart failure, such as auscultatory findings, may help to classify the level of severity.…”

“…Of the several useful scores exist for evaluating prognosis after MI, many use invasive diagnostic assessments not available for all patients, [1][2][3][4] and others use only noninvasive measures. [5][6][7][8][9][10][11][12][13][14][15][16][17][18] Generally, these scores are based on short-term risk, 1-9,13,14,16 -18 making them most useful for immediate decisions about hospital therapy. Long-term outcome after hospitalization has rarely been evaluated.…”

Precordial ST-segment depression during acute inferior myocardial infarction: clinical, scintigraphic and angiographic correlations.

“…Patients were exercised on a treadmill using the Naughton protocol'3 a mean of 11 + 2 days (range [7][8][9][10][11][12][13][14] Thallium imaging commenced 10 minutes after injection with the patient supine in the anterior projection, followed sequentially by the 450 left anterior oblique (LAO) and 700 LAO projection, respectively. The anterior and 450 LAO images were repeated 1 hour and 2-3 hours after 20'T1 administration.…”

Acute Heart Failure Complicating Acute Coronary Syndromes

“…[1][2][3] Acute heart failure (AHF) complicates acute myocardial infarction as a result of a complex interaction of structural, hemodynamic, neurohormonal, and genetic maladaptations. Abrupt myocyte loss leading to contractile dysfunction and AHF is an obvious mechanism, and the extent of biomarker elevation correlates with prognosis and the range of functional recovery.…”