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Ischemic heart disease-based prediction algorithms

Ischemic heart disease-based prediction algorithms
  Study group
(diagnostic criteria for entry)
TIMI
(unstable angina)
GRACE
(post-STEMI or NSTEMI ACS)
HEART
(ED observation unit evaluation)
DAPT
(PCI patients)
ACTION
(hospitalized MI)
Year of publication 2000 2004 2015 2016 2016
Age X X X X X
Traditional CV factors (various) X   X X X
ECG ST-segment elevation X X X   X
2+ ischemic episodes past 24 hours X     X  
Strong history of ischemic symptoms     X X  
Troponin levels X
(older assay)
X
(older assay)
X
(newer assay)
  X
(newer assay)
Nontroponin CV biomarkers X Serum creatinine   Renal function eGFR
Heart rate   X     X
Heart failure   X   X At presentation
History of stroke or PAD       X  
Cardiac arrest         At presentation
Cardiogenic shock         At presentation
Stent information       X  
Validation Multiple Multiple External Internal Internal
X denotes that the information was used for that scoring system.
ACS: acute coronary syndrome; ACTION: Acute Coronary Treatment and Intervention Outcomes Network; CV: cardiovascular; DAPT: Dual Antiplatelet Therapy; ED: emergency department; eGFR: estimated glomerular filtration rate; GRACE: Global Registry of Acute Coronary Events; HEART: History, ECG, Age, Risk factor, Troponin; MI: myocardial infarction; NSTEMI: non-ST elevation myocardial infarction; PAD: peripheral arterial disease; PCI: percutaneous coronary intervention; STEMI: ST-segment elevation myocardial infarction; TIMI: Thrombolysis In Myocardial Infarction.
From: Wilson PWF, D'Agostino RB. No one size fits all: Scoring risk of in-hospital death after myocardial infarction. J Am Coll Cardiol 2016; 68:636. Table used with the permission of Elsevier Inc. All rights reserved.
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