Shock index and modified shock index at discharge as predictors of long-term mortality after myocardial infarction: results from the Augsburg Myocardial Infarction Registry - Report - MDSpire

Shock index and modified shock index at discharge as predictors of long-term mortality after myocardial infarction: results from the Augsburg Myocardial Infarction Registry

  • By

  • Constantin Rödl

  • Christa Meisinger

  • Bernhard Kuch

  • Philip Raake

  • Jakob Linseisen

  • Timo Schmitz

  • May 4, 2026

  • 0 min

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Predictive Value of Shock Index and Modified Shock Index at Discharge

Overview

This study evaluates the predictive value of the Shock Index (SI) and Modified Shock Index (mSI) at discharge for long-term mortality following acute myocardial infarction (AMI). Findings indicate that both indices can effectively stratify risk for long-term mortality in both STEMI and NSTEMI patients.

Background

Acute myocardial infarction (AMI) remains a significant public health concern, necessitating effective risk stratification tools for long-term outcomes. The Shock Index (SI) and Modified Shock Index (mSI) are derived from heart rate and blood pressure measurements, which are critical in assessing cardiovascular status. Understanding their predictive value at discharge is essential for optimizing post-hospitalization care and improving patient outcomes.

Data Highlights

No numerical data available in the source material.

Key Findings

  • SI and mSI at discharge are strong predictors of long-term mortality after AMI.
  • Both indices can stratify risk effectively for STEMI and NSTEMI patients.
  • Patients with higher SI and mSI values at discharge had an increased risk of long-term mortality.
  • The study utilized data from the Augsburg Myocardial Infarction Registry, enhancing the reliability of findings.
  • Prior studies have shown SI and mSI to be significant predictors of short-term mortality, reinforcing their clinical relevance.

Clinical Implications

Healthcare professionals should consider utilizing SI and mSI at discharge as part of routine assessments for patients recovering from AMI. These indices can aid in identifying patients at higher risk for long-term mortality, allowing for tailored follow-up care and interventions.

Conclusion

The findings underscore the importance of SI and mSI as valuable tools for risk stratification at discharge following AMI. Their predictive capabilities can enhance post-discharge management and improve long-term patient outcomes.

References

  1. Author(s)/Org, Source, Year -- Title
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  5. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
  6. Shock index and modified shock index are predictors of long-term mortality not only in STEMI but also in NSTEMI patients - PMC
  7. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
  8. Shock index and modified shock index are predictors of long-term mortality not only in STEMI but also in NSTEMI patients - PMC

Original Source(s)

Shock index and modified shock index at discharge as predictors of long-term mortality after myocardial infarction: results from the Augsburg Myocardial Infarction Registry

  • by Constantin Rödl, Christa Meisinger, Bernhard Kuch, Philip Raake, Jakob Linseisen, Timo Schmitz

  • May 4, 2026

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