Table VI.
Summary of Clinical Risk Scores for ACS, Modified After Morrow [15].
| PURSUIT | TIMI | GRACE | FRISC | HEART | |||
|---|---|---|---|---|---|---|---|
| Population | UA/NSTEMI | UA/NSTEMI | All ACS | UA/NSTEMI | All Chest Pain | ||
| Outcome | Death | Death/MI | Death | Death/MI | |||
| Key elements | 5 | 7 | 8 | 7 | 5 | ||
| Age | X | X | X | X | X | ||
| Gender | X | X | |||||
| Prior MI/CAD | X | X | X | ||||
| DM, CRF’s | X | X | X | ||||
| Symptoms/History | X | X | X | ||||
| Use of aspirin | X | ||||||
| Weight | |||||||
| HR | X | ||||||
| SBP | X | ||||||
| CHF/Killip class | X | X | |||||
| ECG | X | X | X | X | X | ||
| CKMB/cTn | X | X | X | X | |||
| Serum Cr | X | ||||||
| Serum Interl-6/CRP | X | X | |||||
| Cardiac Arrest | |||||||
| Possible max score | 18 | 7 | 372 | 7 | 10 | ||
| c-statistic | 0.84 | 0.67 | 0.65 | 0.83 | 0.77 | 0.70 | 0.90 |
| Computer needed | Yes | ||||||
PURSUIT = Platelet glycoprotein IIb/IIIa in Unstable angina: Receptor Suppression Using Integrilin (eptifibatide) Therapy, TIMI = Thrombolysis in Myocardial Infarction, GRACE = Global Registry of Acute Coronary Events, FRISC = Fast Revascularisation in Instability in Coronary disease, HEART = History ECG Age Risk Factors Troponin, UA = Unstable Angina, NSTEMI = Non-ST Elevation Myocardial Infarction, ACS = Acute Coronary Syndrome MI = Myocardial Infarction, CAD = Coronary Artery Disease, DM = Diabetes Mellitus, CRF’s = Cardiac Risk Factors, HR = Heart Rate, SBP = Systolic Blood Pressure, CHF = Congestive Heart Failure, ECG = Electrocardiogram, CKMB = Creatininfosfokinase MB, cTn = cardiac Troponin, Serum Cr = Serum Creatinin, Serum Interl-6 = Serum Interleukin-6, CRP = C-Reactive Protein.