Key result
Initial clinical parameters including older age, haemodynamic distress, and markers of ongoing ischaemia provide significant prognostic information for estimating mortality risk in acute myocardial infarction.
Initial clinical parameters such as age, haemodynamic status, and ischaemia markers can rapidly estimate mortality risk in patients with acute myocardial infarction.
May aid early AMI risk stratification; leaves open prospective validation for guiding therapy.
The physician wishing to estimate the risk of death for a patient experiencing acute myocardial infarction can rapidly use parameters available on first seeing the patient to estimate the expected mortality and can update this risk during the early phase of the event. From the initial evaluation, factors that exclude patients from reperfusion therapy constitute a substantially elevated risk. Older age, haemodynamic distress, and markers of ongoing ischaemia provide a large amount of prognostic information from the initial exam. Careful surveillance for additional complications allows continuous risk assessment during the early course.
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Califf et al. (1997) conducted a review in Acute myocardial infarction. Clinical risk assessment was evaluated on Mortality risk. Initial clinical parameters including older age, haemodynamic distress, and markers of ongoing ischaemia provide significant prognostic information for estimating mortality risk in acute myocardial infarction.
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