Definition
Risk stratum of a person presenting with clinical features consistent with an acute coronary syndrome defined by accompanying clinical, electrocardiogram (ECG) and biochemical features, as represented by a code.
Components
Data Element (this item)
-
Data Element ConceptPerson—acute coronary syndrome risk stratum
-
Object ClassPerson
-
PropertyAcute coronary syndrome risk stratum
-
-
Value DomainAcute coronary syndrome risk stratum code N
Representation
This representation is based on the value domain for this data element, more information is available at " Acute coronary syndrome risk stratum code N ".| Data Type | Number |
|---|---|
| Format | N |
| Maximum character length | 1 |
| Value | Meaning | Start Date | End Date | |
|---|---|---|---|---|
| Permissible Values | 1 | ST-segment-elevation (myocardial infarction) | ||
| 2 | Non-ST-segment-elevation ACS with high-risk features | |||
| 3 | Non-ST-segment-elevation ACS with intermediate-risk features | |||
| 4 | Non-ST-segment-elevation ACS with low-risk features | |||
| Supplementary Values | 9 | Not stated/inadequately described |
Comments
Guide for use:
Other clinical considerations influencing the decision to admit and investigate are not reflected in this metadata item. This metadata item is intended to simply provide a diagnostic classification at the time of, or within hours of clinical presentation.
Acute coronary syndrome symptoms may include:
- tightness, pressure, heaviness, fullness or squeezing in the chest which may spread to the neck and throat, jaw, shoulders, the back, upper abdomen, either or both arms and even into the wrists and hands
- dyspnoea, nausea/vomiting, cold sweat or syncope.
Origin:
National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand. Guidelines for the management of acute coronary syndromes 2006. Med J Aust 2006; 184; S1-S32. © MJA 2006
The TIMI Risk Score for Unstable Angina/Non-ST Elevation MI JAMA. 2000; 284:835-842.
Comments:
The clinical, electrocardiogram and biochemical characteristics are important to enable early risk stratification.