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The New Mayo Clinic Risk Score Characteristics in Acute Coronary Syndrome Post Percutaneous Coronary Intervention Patients

Author : L. Z. Amin, H. Z. Amin, S. A. Nasution, M. Panggabean, H. Shatri
Upload Date : 19-04-2018

Background : Mortality and major adverse cardiac events (MACE) are frequently occurred post percutaneous coronary intervention (PCI), therefore ability to predict such events through an established risk stratification is of great importance. This study was aimed to know the risk stratification of mortality and MACE in post-PCI patients at ICCU Cipto Mangunkusumo Hospital (CMH) using seven variables of New Mayo Clinic Risk Score (NMCRS).

Methods : This was a cross sectional study from 313 secondary data collected from medical records of patients underwent PCI at ICCU CMH that were admitted between August 1st 2013 to August 31st 2014. The primary end point was all mortality and MACE incidences. Seven variables in NMCRS (age, left ventricular ejection fraction (LVEF), serum creatinine, pre-procedure cardiogenic shock, myocardial infarction (MI), and peripheral arterial disease (PAD) ) were evaluated.

Results : The mortality and MACE incidences in post-PCI patients were 3.8%, (95% confidence interval (CI) 2.6; 5) and 8.3%, (95% CI 6.6; 10) respectively. From NMCRS stratification, elderly patients with lower LVEF, increased serum creatinine, pre-procedure cardiogenic shock, MI, and PAD had higher mortality and MACE incidences for post-PCI patients. Mortality and MACE incidences were significantly increased in post-PCI patients with higher NMCRS.

Conclusion : Patients with higher NMCRS have a tendency in increasing mortality and MACE incidences post-PCI.

KEYWORDS : NMCRS, Post PCI, mortality, MACE.


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