![]() The primary hypothesis of the study is that the HEART score is a significantly better predictor than the TIMI and/or GRACE score for cardiovascular events during a six week period following admission to the emergency room. The predictive value of the three scoring systems: HEART (History, ECG, Age, Risk factors, Troponin), TIMI (Thrombolysis in Myocardial Infarction) and GRACE (Global Registry of Acute Coronary Events) for both the discharge diagnosis and the occurrence of Major Adverse Cardiovascular Events (MACE) is calculated. Patient data during a follow up of at least 6 weeks are gathered from hospital charts. No additional effort will be asked of the patients. This CRF is filled out immediately by the resident. All patients are checked by the resident in charge immediately on admission, before any lab values are known, by means of an admission Case Report Form (CRF), consisting of classical elements of patient history, risk factors, medication and physical examination. This is a prospective, observational study in patients admitted to the emergency room for chest pain. Why Should I Register and Submit Results?.Treatments, trends, and outcomes of acute myocardial infarction and percutaneous coronary intervention. Roe M.T., Messenger J.C., Weintraub W.S., Cannon C.P., Fonarow G.C., Dai D., Chen A.Y., Klein L.W., Masoud F.A., McKay C., et al. Trends in hospitalizations and outcomes for acute cardiovascular disease and stroke, 1999–2011. Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006. Rogers W.J., Frederick P.D., Stoehr E., Canto J.G., Ornato J.P., Gibson C.M., Pollack C.V., Jr., Gore J.M., Chandra-Strobos N., Peterson E.D., et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. doi: 10.1093/eurheartj/ehu299.īenjamin E.J., Blaha M.J., Chiuve S.E., Cushman M., Das S.R., Deo R., de Ferranti S.D., Floyd J., Fornage M., Gillespie C., et al. Cardiovascular disease in Europe 2014: Epidemiological update. Nichols M., Townsend N., Scarborough P., Rayner M. Conclusion: The GRACE risk score could represent a more accurate model to assess long-term death of acute myocardial infarction, but further studies are required.Īcute myocardial infarction long-term prognosis risk score. Whether in ST-segment elevation myocardial infarction (STEMI) patients or non-ST-segment elevation myocardial infarction (NSTEMI) patients, the AUC value of the GRACE score (both AUC = 0.734) was significantly higher than the TIMI score (AUC = 0.675, p 0.05). Results: The study ultimately included 2220 patients, with a median follow-up of 8 years and 454 (20.5%) deaths until the end of follow-up. The predictive ability of different risk scores for long-term prognosis was compared according to the receiver operating characteristic (ROC) area under the curve (AUC), and the ability to distinguish patients with different risk levels was compared according to Kaplan−Meier survival curves. A HEART score >3 (negative predictive value NPV 0.98, 95CI 0.98-0.99 positive predictive value PPV 0.10, 95CI 0.09-0.11) demonstrates equivalent or superior NPV/PPV compared to TIMI>0 (NPV 0.98, 95CI 0.97-0.98 PPV 0.08, 95CI 0.07-0.08) and TIMI>1 (NPV 0.96, 95CI 0.96-0.97 PPV 0.1, 95CI 0.09-0.11). All-cause death and time of death of patients were confirmed by telephone follow-up, electronic medical record query, and household registration information. The long-term follow-up of patients was conducted until the end of January 2021. The patients were scored by GRACE score, TIMI score, and HEART score. Methods: The hospitalization data of patients who were hospitalized in West China Hospital of Sichuan University from 2011 to 2013 and diagnosed with acute myocardial infarction (AMI) were collected. Background and aims: To compare the value of three commonly used cardiovascular short-term risk scoring models, the GRACE score, TIMI score, and HEART score, in predicting the long-term prognosis of patients with acute myocardial infarction.
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