APACHE II Score, Rather Than Cardiac Function, May Predict Poor Prognosis in Patients With Stress-Induced Cardiomyopathy
| Autor: | Hyun Soo Kim, Uk Jo, Chong-Jin Kim, Jin-Man Cho, Jeong-Hwan Park, Eun-Sun Jin, Hui-Jeong Hwang, Il Suk Sohn, Byung-Hyun Joe, Chang-Bum Park |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
APACHE II Score Cardiac function curve Chest Pain medicine.medical_specialty Cardiovascular Disorders Cardiomyopathy Apache II score Kaplan-Meier Estimate Chest pain Ventricular Function Left Predictive Value of Tests Takotsubo Cardiomyopathy Internal medicine Humans Medicine In patient Prospective Studies Prospective cohort study Cardiac Function APACHE Aged Aged 80 and over Ejection fraction business.industry Stress-Induced Cardiomyopathy General Medicine Middle Aged Prognosis medicine.disease ROC Curve Echocardiography Predictive value of tests Cardiology Female Original Article medicine.symptom business |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| Popis: | While the disease course of stress-induced cardiomyopathy (SIC) is usually benign, it can be fatal. The prognostic factors to predict poorer outcome are not well established, however. We analyzed the Acute Physiology And Chronic Health Evaluation (APACHE) II score to assess its value for predicting poor prognosis in patients with SIC. Thirty-seven consecutive patients with SIC were followed prospectively during their hospitalization. Clinical factors, including APACHE II score, coronary angiogram, echocardiography and cardiac enzymes at presentation were analyzed. Of the 37 patients, 27 patients (73%) were women. The mean age was 66.1 ± 15.6 yr, and the most common presentation was chest pain (38%). Initial echocardiographic left ventricular ejection fraction (EF) was 42.5% ± 9.3%, and the wall motion score index (WMSI) was 1.9 ± 0.3. Six patients (16%) expired during the follow-up period of hospitalization. Based on the analysis of characteristics and clinical factors, the only predictable variable in prognosis was APACHE II score. The patients with APACHE II score greater than 20 had tendency to expire than the others (P = 0.001). Based on present study, APACHE II score more than 20, rather than cardiac function, is associated with mortality in patients with SIC. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|