Projects per year
Abstract / Description of output
Aims
The Global Registry of Acute Coronary Events (GRACE) score was developed to evaluate risk in patients with myocardial infarction. However, its performance in type 2 myocardial infarction is uncertain.
Methods and results
In two cohorts of consecutive patients with suspected acute coronary syndrome from 10 hospitals in Scotland (n = 48 282) and a tertiary care hospital in Sweden (n = 22 589), we calculated the GRACE 2.0 score to estimate death at 1 year. Discrimination was evaluated by the area under the receiver operating curve (AUC), and compared for those with an adjudicated diagnosis of type 1 and type 2 myocardial infarction using DeLong’s test. Type 1 myocardial infarction was diagnosed in 4981 (10%) and 1080 (5%) patients in Scotland and Sweden, respectively. At 1 year, 720 (15%) and 112 (10%) patients died with an AUC for the GRACE 2.0 score of 0.83 [95% confidence interval (CI) 0.82–0.85] and 0.85 (95% CI 0.81–0.89). Type 2 myocardial infarction occurred in 1121 (2%) and 247 (1%) patients in Scotland and Sweden, respectively, with 258 (23%) and 57 (23%) deaths at 1 year. The AUC was 0.73 (95% CI 0.70–0.77) and 0.73 (95% CI 0.66–0.81) in type 2 myocardial infarction, which was lower than for type 1 myocardial infarction in both cohorts (P < 0.001 and P = 0.008, respectively).
Conclusion
The GRACE 2.0 score provided good discrimination for all-cause death at 1 year in patients with type 1 myocardial infarction, and moderate discrimination for those with type 2 myocardial infarction.
Trial registration
ClinicalTrials.gov number, NCT01852123.
Original language | English |
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Article number | ehaa375 |
Pages (from-to) | 1-10 |
Journal | European Heart Journal |
Volume | n/a |
DOIs | |
Publication status | Published - 9 Jun 2020 |
Keywords / Materials (for Non-textual outputs)
- High-sensitivity
- Troponin
- Type 1 myocardial infarction
- Type 2 myocardial infarction
- Universal definition
- GRACE
Fingerprint
Dive into the research topics of 'Performance of the GRACE 2.0 score in patients with type 1 and type 2 myocardial infarction'. Together they form a unique fingerprint.Projects
- 4 Finished
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Refining the Diagnosis of Type 2 Myocardial Infarction: Fellowship for Andrew Chapman
1/08/16 → 31/07/19
Project: Research
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