COMPARISON OF IN-HOSPITAL LETHALITY PROGNOSTIC SCALES IN MYOCARDIAL INFARCTION PATIENTS

• Main Authors: M. V. Zykov, O. L. Barbarash, D. S. Zykova, V. N. Karetnikova, E. V. Tavlueva, V. V. Kashtalap
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2012-02-01
• Series: Российский кардиологический журнал
• Subjects: in-hospital prognosis in myocardial infarction
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/1187

Aim. To assess the prognostic value of selected in-hospital lethality prognostic scales in patients with ST segment elevation myocardial infarction (STEMI) and to create a new, original risk scale. Material and methods. The analysis included the data of 800 consecutive patients admitted to the Kemerovo Cardiology Dispanser with STEMI diagnosis in 2008– 2009. The level of in-hospital lethality was 10,5% (84 deaths). Results. The risk stratification at admission with TIMI (after pre-hospital thrombolysis) or GRACE scales, or after angiography with CADILLAC scale, provided an important prognostic information and relatively accurately identified the patients at high risk. However, these scales, created for different clinical groups, demonstrated heterogeneous prognostic value, required information on the levels of coronary artery damage, and were not always applicable to the everyday clinical practice settings. Conclusion. Therefore, a new, original prognostic scale (KemScore) has been created, which is based on clinical parameters and glycaemia levels. Independently of the selected therapeutic strategy, this scale provides a reliable assessment of inhospital lethality risk, and could be used as early as within the first hour after admission.