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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)

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
Values
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.

References

Related content

Relation Count
Input in Derivations 0
Output in Derivations 0
Inclusion in Data Set Specifications 3
Inclusion in Data Distributions 0
As a numerator in an Indicator 0
As a denominator in an Indicator 0
As a disaggregation in an Indicator 0