Shock index and modified shock index at discharge as predictors of long-term mortality after myocardial infarction: results from the Augsburg Myocardial Infarction Registry - Scorecard - 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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Clinical Scorecard: Predictive Value of Shock Index and Modified Shock Index at Discharge for Long-Term Mortality Following Myocardial Infarction: Insights from the Augsburg Myocardial Infarction Registry

At a Glance

CategoryDetail
ConditionAcute Myocardial Infarction (AMI)
Key MechanismsShock Index (SI) and Modified Shock Index (mSI) as predictors of long-term mortality
Target PopulationPatients aged 25-84 years discharged alive after AMI
Care SettingPost-hospital discharge follow-up

Key Highlights

  • SI and mSI are strong predictors of long-term mortality after AMI.
  • The study differentiates between STEMI and NSTEMI for predictive analysis.
  • SI and mSI were evaluated at discharge, marking the end of in-hospital surveillance.

Guideline-Based Recommendations

Diagnosis

  • Use SI and mSI to assess cardiovascular status at discharge.

Management

  • Consider risk stratification based on SI and mSI for post-discharge care.

Monitoring & Follow-up

  • Regular follow-up for patients with high SI and mSI values.

Risks

  • Patients with high SI and mSI are at increased risk for long-term mortality.

Patient & Prescribing Data

Patients discharged after AMI, aged 25-84 years.

Focus on monitoring cardiovascular recovery and adjusting post-discharge care based on SI and mSI.

Clinical Best Practices

  • Incorporate SI and mSI into discharge planning for AMI patients.
  • Utilize standardized measurements for heart rate and blood pressure.

References

Original Source(s)

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