期刊名称：Aktuelnosti iz Neurologije, Psihijatrije i Graničnih Područja
印刷版ISSN：0354-2726
出版年度：2005
卷号：XIII
期号：3-4
页码：45-52
出版社：Clinical Center of Vojvodina
摘要：In the Coronary Care Unit (CCU) of the Institute of Cardiovascular Diseases, Acute Myocardial Infarct Score_Novi Sad (AMIS_NS) is routinely estimated for all patients with acute myocardial infarction. The score is used to rank disease severity, predict mortality by clinical groups and analyse quality of the CCU work. If acute myocardial infarction is observed as a clinical entity, we can differentiate between myocardial infarction of the anterior wall, which is large, and myocardial infarction of the posterior wall, which is usually smaller and hemodynamically less important. Localisation of myocardial infarction is important in case of complications that may affect survival. Objective of the paper is to assess whether the AMIS_NS done on admission to the CCU and echocardiographic parameters are valid predictors of acute myocardial infarction outcome, depending on the localisation of the infarction. The study comprised 955 patients. Study group included patients admitted to the CCU with electrocardiographic (ECG) signs of myocardial infarction of the anterior wall. Control group included patients with ECG signs of myocardial infarction of the posteroinferior wall. At CCU, anamnestic data, as well as echocardiographic and necessary arguments for analysis and scoring with AMIS_NS score system were collected. Therapeutic outcome was followed for 28 days. According to AMIS, patients with acute myocardial infarction of the anterior wall had higher expected mortality rate (13.56%) compared to patients with posterior wall involvement (7.76%). In conclusion, AMIS_NS score system and echocardiographic parameters can be valid predictors of acute myocardial infarction outcome, depending on the localisation of the infarction
