viernes, 1 de septiembre de 2017

Escala FRISC

Variable
Puntaje
Edad superior a 70 años
Sexo masculino
Diabetes 
Infarto previo
ECG: descenso del segmento ST
Biomarcadores: Elevación de Tn,
Elevación de interleucina 6 o PCR
1
1
1
1
1
1
1
TOTAL

FRISC (Fast Revascularisation in Instability in Coronary disease) II trial 
ECG: electrocardiograma 
Tn: troponina. 
PCR: Proteina C reactiva 

Interpretación - si 3 o más, se beneficia de terapia invasiva temprana. 0-2, Bajo Riesgo 
3-4, Riesgo Intermedio 5-7, Riesgo Alto.

BIBLIOGRAFIA
(1) B.E Backus, Risk Scores for Patients with Chest Pain: Evaluation in the Emergency Department Curr Cardiol Rev. 2011 Feb; 7(1): 2–8. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131711/
(2) Robbert J. de Winter, Early Invasive versus Selectively Invasive Management for Acute Coronary Syndromes. N Engl J Med 2005; 353:1095-1104 URL: http://www.nejm.org/doi/full/10.1056/NEJMoa044259
(3) Lancet. Invasive compared with non-invasive treatment in unstable coronary-artery disease. FRISC II prospective randomised multicentre study. FRagmin and Fast Revascularisation during InStability in Coronary artery disease Investigators. 354, 708–715 (1999). URL: https://www.ncbi.nlm.nih.gov/pubmed/10475181
(4) B Lagerqvist, FRISC score for selection of patients for an early invasive treatment strategy in unstable coronary artery disease Heart. 2005 Aug; 91(8): 1047–1052. URL: https://www.ncbi.nlm.nih.gov/pubmed/16020594

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