Predictive value of the age, creatinine, and ejection fraction score in patients with myocardial infarction with nonobstructive coronary arteries
Clinical Cardiology Jun 07, 2021
Gao S, MaW, Huang S, et al. - The present study was conducted to explore if the age, creatinine, and ejection fraction (ACEF) score (age [years]/ejection fraction [%] + 1 [if creatinine >176 μmol/L]) might predict long-term outcomes after nonobstructive coronary arteries (MINOCA). Researchers included a total of 1,179 patients with MINOCA and classified according to their ACEF score tertile levels. The primary outcomes included a composite of major adverse cardiovascular events, including all-cause death, nonfatal MI, nonfatal stroke, revascularization, and hospitalization for unstable angina or heart failure. They performed Kaplan–Meier and Cox regression analyses. After MINOCA, increased ACEF scores were strongly correlated with a poor prognosis. In the population with MINOCA, this simple and valid risk score may facilitate risk stratification and decision making.
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