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Goldenberg Risk Score (ICD Outcome) Calculator

  • Age > 70 years
  • NYHA Class III-IV (1 if yes, 0 if no)
  • QRS Duration > 120 ms (1 if yes, 0 if no)
  • AF present (1 if yes, 0 if no)
  • Blood Urea Nitrogen > 26 mg/dL (1 if yes, 0 if no)
  • Goldenberg Risk Score: Explanation and Clinical Context
    The Goldenberg Risk Score is designed to predict mortality and appropriate ICD interventions in patients with ischemic cardiomyopathy and reduced left ventricular ejection fraction (LVEF < 35%).
    It incorporates five independent predictors: age > 70 years, NYHA class III–IV, QRS duration > 120 ms, presence of atrial fibrillation (AF), and elevated blood urea nitrogen (BUN > 26 mg/dL). Each factor scores 1 point, resulting in a total score of 0–5.
    Patients are stratified into low, intermediate, and high-risk groups for ICD events, assisting clinicians in decision-making for device therapy and risk counseling.

    Reference:
    Goldenberg I, Moss AJ, Hall WJ, et al. Risk stratification for primary implantation of a cardioverter-defibrillator in patients with ischemic left ventricular dysfunction. N Engl J Med. 2008;358:111-120. doi:10.1056/NEJMoa071014

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