title: A simple risk score in acute ST-elevation myocardial infarction: Modified ACEF(age, creatinine, and ejection fraction) score.
abstract: OBJECTIVE
  The aim of this study was to evaluate if the modified ACEF (age, creatinine, and ejection fraction) score is a predictor of major adverse cardiac and cerebrovascular events during 1 year of follow-up in patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI).
  
  
  METHODS
  We retrospectively enrolled 1632 consecutive patients who were admitted to our emergency department diagnosed with STEMI within 12 h of chest pain and treated with primary PCI. The modified ACEF score, determined with a simplified scoring system, was calculated. The patients were grouped into tertiles according to this score (group I mACEF < 1.03, group II mACEF 1.03-1.37, group III > 1.37) . The clinical and angiographic data were compared among the tertiles.
  
  
  RESULTS
  In patients with the highest mACEF tertile, out-of-hospital cardiac arrest (1.3%, 1.8%, and 4.1% consecutively; P = 0.003), Killip class &ge; II (P < 0.001), and cardiogenic shock were more common and ejection fraction was lower (P < 0.001). Moreover, in the 1-year follow-up, there was a statistically significant difference between cardiac mortality, target vessel revascularization, stroke, reinfarction, and major adverse cardiac and cerebrovascular events of the groups, while the rates of stent thrombosis were similar.
  
  
  CONCLUSIONS
  The modified ACEF score is a predictor of cardiac mortality and morbidity during 1-year follow-up.
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: Arzu
authors.initials: A
authors.lastname: Kalaycı
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: Vecih
authors.initials: V
authors.lastname: Oduncu
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: Çetin
authors.initials: Ç
authors.lastname: Geçmen
authors.affiliation: Department of Cardiology, Faculty of Medicine, Atatürk University, Erzurum, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Topcu
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: Can Yücel
authors.initials: CY
authors.lastname: Karabay
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: İbrahim Akın
authors.initials: İA
authors.lastname: İzgi
authors.affiliation: Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
authors.forename: Cevat
authors.initials: C
authors.lastname: Kırma
mesh_terms: D003404:Creatinine; D006801:Humans; D009203:Myocardial Infarction; D062645:Percutaneous Coronary Intervention; D012189:Retrospective Studies; D012307:Risk Factors; D013318:Stroke Volume; D016896:Treatment Outcome
chemical_list: D003404:Creatinine
keywords: ACEF score; Acute ST-elevation myocardial infarction; mortality