Associação entre Escores de Risco Clínico (HEART, GRACE e TIMI) e Complexidade Angiográfica na Síndrome Coronária Aguda sem Elevação do Segmento ST

SCA-SSST na Emergência: Você Consegue Adivinhar o que está sob o Guarda-Chuva?

“…Interestingly, a cut-off value of >4 and ≥140 for HEART and GRACE scores yielded a sensitivity and specificity of 100% and 97%, respectively, to predict such severe CAD. 14 Given the abovementioned results, it is proposed that the combined use of the HEART and GRACE scores might be useful in detecting complex CAD. 14 It should be noted, however, that this is a small exploratory single-center study, mostly including patients with UA (in whom the GRACE score has not been extensively validated, as far as prognosis is concerned).…”

“…14 Given the abovementioned results, it is proposed that the combined use of the HEART and GRACE scores might be useful in detecting complex CAD. 14 It should be noted, however, that this is a small exploratory single-center study, mostly including patients with UA (in whom the GRACE score has not been extensively validated, as far as prognosis is concerned). Nonetheless, it would be an alluring hypothesis to investigate whether these scores might be incorporated as a valid tool in the pathway of care of NSTE-ACS patients, namely: (1) Could these be used as a novel criterion for immediate invasive strategy listing?, and (2) Could these differentiate between patients in whom P2Y12 pre-treatment strategy is safe and desirable from those in whom it might cause harm (e.g.…”

Correlation of TIMI score with severity of coronary artery disease in acute coronary syndrome

“…Globally, ACS is common cause of adult deaths accounting for 30% mortality rate. Risk stratification is a key component for initial assessment of ACS that differentiates low and high risk patients to avoid life threatening consequences via early medical management of high risk cases 7 . American cardiac association and European heart academy widely recommend the use of thrombolysis in myocardial infarction (TIMI) score for timely prognosis in ACS both STEMI & NSTEMI 8 .…”

Devemos “Ajustar” Nossa Abordagem à Doença Arterial Coronariana?

“…4 Modern cardiology has evolved exponentially since those first discoveries, offering state-of-the-art technology to treat the full range of Acute Coronary Syndromes. 5,6 Our better comprehension of this disease's complex molecular dynamics is fundamental to improving an early diagnosis and further, preventing its disastrous outcomes. 7 21 st -century medicine offers a great armamentarium of molecular diagnoses for several diseases, but CAD is somewhat lacking behind.…”