Use of risk scores in acute coronary syndromes

Heart

Volumn 98, Issue 2, 2012, Pages 162-168

  Bueno, Héctor ^a   Fernández Avilés, Francisco ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; CLOPIDOGREL; ENOXAPARIN; EPTIFIBATIDE; FONDAPARINUX; HEPARIN; HIRULOG; PLACEBO; PRASUGREL; TICAGRELOR;

ACUTE CORONARY SYNDROME; ANGINA PECTORIS; ANTICOAGULANT THERAPY; BLEEDING; CARDIOVASCULAR PARAMETERS; CARDIOVASCULAR RISK; CLINICAL DECISION MAKING; CLINICAL TRIAL (TOPIC); CORONARY ARTERY RECANALIZATION; DIAGNOSTIC ACCURACY; DISEASE COURSE; FIBRINOLYTIC THERAPY; FRISC II RISK SCORE; GRACE RISK SCORE; HEART ARRHYTHMIA; HEART DISEASE; HEART FAILURE; HEART INFARCTION; HEART MUSCLE ISCHEMIA; HEART SURGERY; HIGH RISK PATIENT; HUMAN; INVASIVE PROCEDURE; PERCUTANEOUS CORONARY INTERVENTION; PREDICTIVE VALUE; PRIORITY JOURNAL; PURSUIT RISK SCORE; RECURRENT DISEASE; REVIEW; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; RISK FACTOR; RISK REDUCTION; SCORING SYSTEM; TIMI RISK SCORE; TREATMENT OUTCOME;

ACUTE CORONARY SYNDROME; HEALTH STATUS INDICATORS; HUMANS; RISK ASSESSMENT; RISK FACTORS;

EID: 84055216929     PISSN: 13556037     EISSN: 1468201X     Source Type: Journal    
DOI: 10.1136/heartjnl-2011-300129     Document Type: Review

References (17)

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13. Lagerqvist B, Diderholm E, Lindahl B, et al. FRISC score for selection of patients for an early invasive treatment strategy in unstable coronary artery disease. Heart 2005;91:1047-52. The FRISC II risk score showed not only that it could accurately estimate mortality risk in ACS patients but that it could define the group of patients who benefit most from an early invasive strategy. (Pubitemid 41060013)
14. Subherwal S, Bach RG, Chen AY, et al. Baseline risk of major bleeding in non-ST-segment-elevation myocardial infarction: the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines) Bleeding Score. Circulation 2009;119:1873-82. First risk score for major bleeding in ACS patients, derived from the large US CRUSADE registry.
15. Mehran R, Pocock SJ, Nikolsky E, et al. A risk score to predict bleeding in patients with acute coronary syndromes. J A Coll Cardiol 2010;55:2556-66.
16. National Institute for Health and Clinical Excellence. Unstable angina and NSTEMI: the early management of unstable angina and non-ST-segment-elevation myocardial infarction. London: NICE, 2010. http://www.nice.org.uk/nicemedia/ live/ 12949/47921/47921.pdf The chapter "Risk assessment" of this document is a must-read for anyone interested in risk assessment and particularly in risk scores for ACS patients. There is a comprehensive comparison of the performances of the most important risk scores developed for ACS patients.
17. Hamm CW, Bassand JP, Agewall S, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2011 Sep 21. First guidelines recommending the assessment of ischemic and bleeding risk through risk scores (GRACE and CRUSADE), and changing management recommendations according to risk scores results (invasive strategy within 24 hours for patients with GRACE risk score > 140) in patients with NSTEACS.