PVI-ICD Mortality Risk Calculator
- PVI-ICD Mortality Risk Score: Explanation and Clinical Context
The PACE risk score is a validated tool to estimate 1-year mortality risk for patients with an Implantable Cardioverter-Defibrillator (ICD) implanted for primary prevention. It incorporates four clinical variables: age >70 years, creatinine >2.0 mg/dL, ejection fraction <20%, and the presence of peripheral arterial disease (PAD). A total score of >3 indicates a high-risk category, suggesting that despite ICD therapy, these patients have a significantly increased risk of mortality within the first year. This tool aids clinicians in identifying patients who may benefit from more intensive monitoring and alternative therapeutic strategies.
Reference:
Kramer DB, et al. Development and validation of a risk score to predict early mortality in recipients of implantable cardioverter-defibrillators. Heart Rhythm. 2012;9(1):47-53. doi:10.1016/j.hrthm.2011.09.058
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