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Myocardial Infarction: Difference between revisions
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Early risk stratification is helpful to identify patients at high risk who might benefit the most from a more aggressive therapeutic approach in order to prevent further ischemic events. <Cite>REFNAME28</Cite> | Early risk stratification is helpful to identify patients at high risk who might benefit the most from a more aggressive therapeutic approach in order to prevent further ischemic events. <Cite>REFNAME28</Cite> | ||
{| class="wikitable" cellpadding="0" cellspacing="0" width="600px" | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
|colspan="3" align="center"|'''Non STE-ACS: In-hospital Mortality''' | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
!Risk Category (tertiles) | |||
!GRACE Risk Score | |||
!Probability of Death In-hospital (%) | |||
|- | |||
|Low | |||
|1-108 | |||
|<1 | |||
|- | |||
|Intermediate | |||
|109-140 | |||
|1-3 | |||
|- | |||
|High | |||
|141-372 | |||
|>3 | |||
|} | |||
{| class="wikitable" cellpadding="0" cellspacing="0" width="600px" | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
|colspan="3" align="center"|'''Non STE-ACS: 6 Month Post-discharge Mortality''' | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
!Risk Category (tertiles) | |||
!GRACE Risk Score | |||
!Probability of Death Post-discharge to 6 Months (%) | |||
|- | |||
|Low | |||
|1-88 | |||
|<3 | |||
|- | |||
|Intermediate | |||
|89-118 | |||
|3-8 | |||
|- | |||
|High | |||
|119-263 | |||
|>8 | |||
|} | |||
{| class="wikitable" cellpadding="0" cellspacing="0" width="600px" | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
|colspan="3" align="center"|'''STE-ACS: In-hospital Mortality''' | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
!Risk Category (tertiles) | |||
!GRACE Risk Score | |||
!Probability of Death In-hospital (%) | |||
|- | |||
|Low | |||
|49-125 | |||
|<2 | |||
|- | |||
|Intermediate | |||
|126-154 | |||
|2-5 | |||
|- | |||
|High | |||
|155-319 | |||
|>5 | |||
|} | |||
{| class="wikitable" cellpadding="0" cellspacing="0" width="600px" | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
|colspan="3" align="center"|'''STE-ACS: 6 Month Post-discharge Mortality''' | |||
|- | |||
|colspan="3" bgcolor="33CCFF"| | |||
|- | |||
!Risk Category (tertiles) | |||
!GRACE Risk Score | |||
!Probability of Death Post-discharge to 6 Months (%) | |||
|- | |||
|Low | |||
|27-99 | |||
|<4.4 | |||
|- | |||
|Intermediate | |||
|100-127 | |||
|4.5-11 | |||
|- | |||
|High | |||
|128-263 | |||
|>11 | |||
|} | |||
Early risk stratification can be performed using one of the validated risk scores, such as the GRACE risk score. GRACE calculates the probability of death while in hospital. The following characteristics are taken into account: | Early risk stratification can be performed using one of the validated risk scores, such as the GRACE risk score. GRACE calculates the probability of death while in hospital. The following characteristics are taken into account: | ||