PHÂN TẦNG NGUY CƠ VÀ CHIẾN LƯỢC
ĐIỀU TRỊ TRONG HỘI CHỨNG VÀNH CẤP:
KHI NÀO NÊN CAN THIỆP MẠCH VÀNH?
GS TS BS Võ Thành Nhân
ĐH Y Dược – BV Chợ Rẫy TP HCM
Calculating GRACE Risk Score
Killip
class
Points
Systolic
BP
Points
Age
Points
I
0
≤70
66
51
110-129
27
≥130
19
Baseline risk factors
Points
Cardiac arrest at admission
38
ST-segment deviation
18
Positive cardiac markers
14
STEMI
14
90-109
26
70-79
56
≥2
51
110-129
32
80-89
73
130-149
24
≥90
91
150-169
2015 ESC Guidelines for the management of ACS
without persistent ST-segment elevation
2015 ESC Guidelines for the management of ACS
without persistent ST-segment elevation
2015 ESC Guidelines for the management of ACS
without persistent ST-segment elevation
2013 ACCF/AHA Guideline for the
Management of ST-Elevation
Myocardial Infarction
Developed in Collaboration with American College of Emergency Physicians
and Society for Cardiovascular Angiography and Interventions
© American College of Cardiology Foundation and American Heart Association, Inc.
Primary PCI in STEMI
Indications for Transfer for Angiography After
Fibrinolytic Therapy
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