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“Cath Lab Catastrophes: Management and Prevention” “Cath Lab ...

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Mayo Clinic Risk Risk Score Variables: Predictors of of<br />

Death, Q Q Wave MI, MI, Emergent or or Urgent CABG, CVA CVA<br />

Clinical Variables<br />

Age<br />

Cardiogenic shock<br />

S. creatinine > 265 µml/l (>3.5 mg/dl) or<br />

history of chronic or end stage renal disease<br />

Urgent or emergent procedure<br />

NYHA > 3 heart failure<br />

Angiographic Variables<br />

Thrombus<br />

Left main disease<br />

Multi-vessel disease<br />

Developed from learning set of 5,463 procedures, January 1996-December 1999.<br />

Validated in 1,781 procedures in 2000. Validated in 3,264 pts in NHLBI Dynamic Registry.<br />

Singh M. et al. JACC 2002;40:387-93<br />

Singh M. et al. JACC 2003;42:722-8

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