History |
ECG |
Age |
Risk Factors (HL, HTN, DM, Obesity, Tobacco, FHx) | Troponin |
Points |
Slightly suspicious | Normal |
< 45 years |
None |
Negative |
0 |
Moderately suspicious | Non specific repolarisation disturbance | 45 - 65 years |
1 -2 |
1 - 3 x normal limit |
1 |
Highly suspicious | Significant ST-depression | > 65 years |
3 or more -or- PMH of Athersclerosis |
> 3 x normal limit |
2 |
Score |
Risk of Major Adverse Cardiac Event within 6 weeks |
0 - 3 |
0.9% |
4 - 6 |
12% |
7 - 10 |
65% |
Factor |
Points |
Age > or = 60 |
1 |
Initial BP > 140/90 |
1 |
DM |
1 |
Symptoms |
Duration |
Points |
Other |
< 10 min | 0 |
Speech impairment without weakness | 10‐59 min | 1 |
Unilateral weakness | > 60 min | 2 |
0-3 Points (Low Risk) |
4-5 Points (Moderate Risk) |
6-7 Points (High Risk) |
|
2-Day Stroke Risk | 1% |
4.1% |
8.1% |
7-Day Stroke Risk | 1.2% |
5.9% |
11.7% |
90-Day Stroke Risk | 3.1% |
9.8% |
17.8% |