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New York State Department of Health December 2010 - page 50 / 62





50 / 62

Criteria Used in Reporting Significant Risk Factors (2008) Based on Documentation in Medical Record

Patient Risk Factor


Hemodynamic State

Determined just prior to the intervention.

• Unstable

Patient requires pharmacologic or mechanical support to maintain blood pressure or cardiac output.

• Shock

Acute hypotension (systolic blood pressure < 80 mmHg) or low cardiac index (< 2.0 liters/min/m2), despite pharmacologic or mechanical support. All cases with this risk factor are excluded from this report.


  • Congestive Heart Failure (CHF),


Within 2 weeks prior to the procedure, a physician has diagnosed CHF by one of the following:

  • Paroxysmal nocturnal dyspnea (PND);

  • Dyspnea on exertion (DOE) due to heart failure; or

  • Chest X-Ray showing pulmonary congestion.

  • Malignant Ventricular Arrhythmia

Recent (within the past 14 days) sustained ventricular tachycardia requiring electrical defibrillation or conversion with intravenous antiarrhythmic agents or ventricular fibrillation requiring electrical defibrillation. Excludes V-Tach or V-Fib occurring within 6 hours of the diagnosis of a myocardial infarction and responding well to treatment.

• Renal Failure, Creatinine

Highest Pre-PCI creatinine during the hospital admission was within the indicated range.

• Renal Failure, Dialysis

e patient is on chronic peritoneal or hemodialysis.

Ventricular Function

• Previous MI

Most recent myocardial infarction (MI) occurred in the specified time period before the intervention.

ST Elevation

EKG finding of a rise in the S-T interval of >1 mm in two or more contiguous leads.

• Ejection Fraction

Value of the ejection fraction taken closest to the procedure. When a calculated measure is unavailable the ejection fraction should be estimated visually from the ventriculogram or by echocardiography. Intraoperative direct observation of the heart is not an adequate basis for a visual estimate of the ejection fraction.

Vessels Diseased

• Left Main Disease

e patient has at least a 50 percent blockage in the Left Main Coronary Artery.

• Three Vessels Diseased

e patient has at least a 70 percent blockage in each of the three native coronary arteries including the Left Anterior Descending (LAD), the Right Coronary Artery (RCA) and the Left Circumflex (LCx) or their major branches.


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