doi: 10.1161/01.CIR.0000035925.23046.0B
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(Circulation. 2002;106:2292.)
© 2002 American Heart Association, Inc.
Editorial |
Prediction Scores After Myocardial Infarction
Value, Limitations, and Future Directions
From the Division of Cardiology, Emory University, Atlanta, Ga.
Correspondence to William S. Weintraub, MD, Professor of Medicine, Emory University, 1256 Briarcliff Rd, Suite 1N, Atlanta, GA 30306. E-mail wweintr@emory.edu
Key Words: Editorials • myocardial infarction • epidemiology • prognosis
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
How many times do we hear from our patients, "Doctor, what is going to happen to me?" Patients, physicians, and other providers would like to be able to predict what will happen after a major event to more rationally plan future care. Few health-related events are as dramatic and have as much impact on a patient as an acute myocardial infarction. There have been a number of algorithms for the prediction of outcomes after an acute myocardial infarction, including Thrombolysis In Myocardial Infarction (TIMI), Global Utilization of Streptokinase and tPA for Occluded arteries (GUSTO), Platelet glycoprotein IIb/IIIa in Unstable angina: Receptor Suppression Using Integrilin Therapy (PURSUIT), Predicting Risk of Death in Cardiac Disease Tool (PREDICT), and the Cooperative Cardiovascular Project (CCP).1–6
See p 2309
In the present issue of Circulation, Singh et al7 assessed outcomes of myocardial infarctions occurring in Olmsted County, Minn, between 1983 and 1994. The outcome measures were death and the composite of death plus recurrent myocardial infarction at 1 month and 1 year. The total number of incident myocardial infarctions was 1279, with 562 ST-segment elevation myocardial infarctions (STEMI) and 717 non–ST-elevation (NSTEMI). The MIs were found by searching for ICD-9 codes in the Olmsted County epidemiological database, and were confirmed by chart abstraction. The electrocardiograms were read according to the Minnesota code. Deaths are routinely tracked in Olmsted County, and recurrent MIs were diagnosed from admissions to Mayo Clinic or Olmsted Medical Center. The prediction scores compared were PURSUIT and TIMI (see Table 1
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Circulation 2002 106: 2309-2314.
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