AGE MODIFIED SHOCK INDEX INSTEAD OF GRACE SCORE IN PATIENTS WITH NON-ST ELEVATION MYOCARDIAL INFARCTION

Authors : Mert EVLICE

Pages : 102-106

Doi:10.48176/esmj.2023.114

View : 31 | Download : 36

Publication Date : 2023-07-28

Article Type : Research Paper

Abstract :Background: Blood pressure and heart rate, as well as the shock index and modified shock index derived from these parameters, have been extensively studied to predict adverse outcomes in patients suffering from acute myocardial infarction.Age shock index and age modified shock index are two new emerging parameters that incorporate blood pressure and heart rate into their calculations, thereby improving the predictive value of each heart rate and blood pressure alone in acute myocardial infarction patients. Objective: We aimed to asses whether the age-modified shock index insert ignore into journalissuearticles values(Age MSI);, the ratio of heart rate to mean arterial pressure, could be preferred over the difficult-to-use GRACE score in patients presenting with NSTEMI. Methods: This retrospective study was performed in a single center including 495 patients diagnosed with NSTEMI, without cardiogenic shock on admission, between July 2019 and December 2022. Results: A very good correlation was found between the GRACE score and the admission age MSI insert ignore into journalissuearticles values(r: 0.752, p<0.001; AUC:0.865, p<0.001 CI 95%: 0.831-0.901, cutoff : 51.0, Sensitivity 88%, Specificity 89%);. Conclusions: Age MSI alone could identify patients with a high GRACE score in NSTEMI patients undergoing PCI. In addition, it is better than SI, MSI, and Age SI at predicting patients with high GRACE scores. However, Age MSI is easier to calculate than GRACE
Keywords : yaş modifiye şok indeksi, GRACE skoru, ST Yüksekliği Olmayan Miyokard Enfarktüsü