Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes

• Autor(a) principal: Petek, Amanda Aparecida [UNESP]
• Data de Publicação: 2019
• Outros Autores: Costa, Nara Aline [UNESP], Pereira, Filipe Welson Leal [UNESP], dos Santos, Ezequiel Aparecido [UNESP], Okoshi, Katashi [UNESP], Zanati, Silmeia Garcia [UNESP], Azevedo, Paula Schmidt [UNESP], Polegato, Bertha Furlan [UNESP], de Paiva, Sergio Alberto Rupp [UNESP], Zornoff, Leonardo Antônio Mamede [UNESP], Minicucci, Marcos Ferreira [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/1806-9282.65.8.1074; http://hdl.handle.net/11449/199430
• topic: Angina,; Mortality; Myocardial infarction; Risk Assessment; Unstable

BACKGROUND: The objective of this study was to evaluate the performance of the Framingham risk score (FRS) and risk score by the American College of Cardiology/American Heart Association (SR ACC/AHA) in predicting mortality of patients ten years after acute coronary syndrome (ACS). METHODS: This is a retrospective cohort study that included patients aged ≥ 18 years with ACS who were hospitalized at the Coronary Intensive Care Unit (ICU) of the Botucatu Medical School Hospital from January 2005 to December of 2006. RESULTS: A total of 447 patients were evaluated. Of these, 118 were excluded because the mortality in 10 years was not obtained. Thus, 329 patients aged 62.9 ± 13.0 years were studied. Among them, 58.4% were men, and 44.4% died within ten years of hospitalization. The median FRS was 16 (14-18) %, and the ACC/AHA RS was 18.5 (9.1-31.6). Patients who died had higher values of both scores. However, when we classified patients at high cardiovascular risk, only the ACC/AHA RS was associated with mortality (p <0.001). In the logistic regression analysis, both scores were associated with mortality at ten years (p <0.001). CONCLUSIONS: Both FRS and SR ACC/AHA were associated with mortality. However, for patients classified as high risk, only the ACC/ AHA RS was associated with mortality within ten years.