Skip Navigation

European Heart Journal 1984 5(2):130-139;
Copyright © 1984 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by WlLLEMS, J.L.
Right arrow Articles by DE GEEST, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WlLLEMS, J.L.
Right arrow Articles by DE GEEST, H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1984 The European Society of Cardiology

Early risk stratification using clinical findings in patients with acute myocardial infarction

J.L. WlLLEMS, J. PARDAENS and H. DE GEEST

Divisions of Cardiology and Medical Informatics, University ofLeuven, School of Medicine Leuven, Belgium

Received 6 December 1982; revised 8 August 1983; .

Correspondence to. Jos L. Willems, M.D., University Hospital St. Rafael, Herestraat, 49, 3000 Leuven, Belgium.

Abstract

The value of non-invasive, clinical variables in predicting short-term outcome after acute myocardial infarction has been prospectively studied using multivariate analysis in a learning population of 1724 patients and a validation sample of 588 cases.

Early risk stratification ofCCU mortality could be made with 89-4% accuracy by using 7 simple clinical variables (Killip class, systolic blood pressure, heart rate, age, intraventricular conduction disturbances, localization of infarction and obesity index) recorded on admission. A discriminant function formula could also be constructed resulting in a maximal classification of 89-3% and predictive values of 91-8% and 77-9%, respectively, for 28-day survival and early death prediction in the learning population. Accuracy figures dropped only slightly (I to 5%) in the independent test set. Predictions could be made with a high degree of accuracy, especially in the upper and lower ranges of the discriminant risk score.

This investigation demonstrates that a fairly good estimation of prognosis can be made by means of discriminant analysis of clinical findings gathered routinely in most CCU's.

Key Words: Acute myocardial infarction • prognostic indices • multivariate risk prediction


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Med Decis MakingHome page
J. Van Ruiswyk, A. Hartz, E. Kuhn, H. Krakauer, M. Young, and A. Rimm
A Measure of Mortality Risk for Elderly Patients with Acute Myocardial Infarction
Med Decis Making, June 1, 1993; 13(2): 152 - 160.
[Abstract] [PDF]

Home page
 ANGIOLOGYHome page
T. Katayama, H. Yamasaki, Y. Honda, and M. Mori
Clinical Significance of Initial Systolic Hypertension After Myocardial Infarction
Angiology, January 1, 1990; 41(1): 23 - 29.
[Abstract] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.