Mortality Risk Score for

Heart Attack

This mortality calculator is based on a statistical model developed from chart abstracted data. It is intended for use with patients age 65 and older.

Demographics

years

Sex of patient.

Sex

Presentation

If patient had angina/chest pain or other AMI symptoms, select Yes and indicate the total number of hours between the last or most recent episode of chest, shoulder, neck, arm, back, throat, jaw, or retrosternal pain or other AMI symptoms and the time the patient arrived at the ED/hospital.

Chest Pain
Duration of Chest Pain (hrs)

Heart failure or pulmonary edema was present at admission, or patient presented with rales, gallop rhythm, or S3 on admission, or x-ray on admission indicated heart failure.

Heart Failure

Shock was present at admission.

Shock

History

Patient has any history of hypertension (excluding pulmonary hypertension).

Hypertension

Patient has any history of diabetes (excluding diabetes insipidus or gestational diabetes).

Diabetes

Patient has any history of myocardial infarction (excluding the present MI).

Prior MI

Patient had prior percutaneous coronary intervention (PCI).

Prior PCI

The patient had prior coronary artery bypass graft (CABG) surgery.

Prior CABG

Patient has any history of a cerebral vascular accident (excluding reversible ischemic neurological deficit (RIND) and transient ischemic attack (TIA)).

Stroke, ischemic or hemorrhagic

Patient has any history of chronic obstructive pulmonary disease (COPD).

COPD

Physical Exam (on admission)

mmHg

Electrocardiogram

ECG Available

ST Elevation MI documented on admission EKG.

STEMI

Location of MI.

— MI Location

LBBB = Left bundle branch block documented on admission EKG.

RBBB = Right bundle branch block documented on admission EKG.

Bundle Branch Block

Second or third degree heart block documented on admission EKG.

Advanced Heart Block

Diagnostics (on admission)

mg/dL   or mmol/L
mg/dL   or mmol/L
thousand cells/mL

This mortality calculator is based on a statistical model developed from chart abstracted data from the Cooperative Cardiovascular Project (CCP) initiative and under contracts with the Centers for Medicare and Medicaid Services (CMS). The technical report may be accessed here: QualityNet.org Technical Report.

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