INTRODUCTION: @entity1 with @entity453 ( @entity453 ) are at increased risk of @entity64 . The aim of this study was to analyze the prognostic accuracy of selected clinical and laboratory variables in @entity64 risk prediction following discharge after @entity583 ( @entity583 ). METHODS: We analyzed 404 consecutive @entity1 (aged 68.1  13.7 years; 63.4% male; 37.4% with @entity6 ) without previous @entity64 who were discharged in sinus rhythm after being admitted for @entity583 . The following data were collected: cardiovascular risk factors, admission blood @entity413 (BG), HbA1c, @entity1011 , peak troponin levels; glomerular filtration rate (GFR) by the MDRD formula; maximum Killip class; GRACE score for in-hospital and 6-month mortality; and extent of @entity453 . @entity1 were followed for two years and each variable was tested as a possible predictor of cerebrovascular events ( @entity64 or @entity63 [ @entity63 ]). RESULTS: During follow-up, 27 @entity1 were admitted for @entity64 or @entity63 . The presence of @entity6 , @entity101 , @entity2299 and previously known @entity453 , @entity583 (STEMI vs NSTEMI) and extent of @entity453 did not predict cerebrovascular risk. The following variables were associated with @entity64 risk: GFR <60ml/min/m(2) (p=0.029, OR 2.65, 95% CI 1.07-6.55); maximum Killip class >1 (p=0.025, OR 2.71, 95% CI 1.10-6.69); GRACE in-hospital mortality >180 (p=0.001, OR 4.09, 95% CI 1.64-10.22); admission BG >140 mg/dl (p=0.001, OR 5.74, 95% CI 1.87-17.58); GRACE 6-month mortality >150 (p=0.001, OR 4.50, 95% CI 1.80-6.27); and peak troponin >42ng/ml (p=0.032, OR 2.64, 95% CI 1.06-6.59). Logistic regression analysis produced a model with the predictors GRACE 6-month mortality >150 (OR 3.26; p=0.014) and admission BG >7.7mmol/l (OR 4.09; p=0.017) that fitted the data well (Hosmer-Lemeshow: p=0.916). DISCUSSION/CONCLUSIONS: In @entity1 with @entity583 , variables known to be predictors of in-hospital mortality, including admission BG, renal function, @entity712 and GRACE score, were found to be useful predictors of @entity64 during 2-year follow-up. While both GRACE score for 6-month mortality >150 and admission BG >7.7 mmol/l were independent predictors of @entity64 , CV risk factors, previously known @entity453 , and extent of @entity453 assessed by coronary angiography did not improve @entity64 risk prediction. This study highlights the need for even more aggressive secondary prevention in @entity1 most at risk.

[Prediction of cerebrovascular event risk following XXXX ].

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'higher stroke'] @entity712 :: ('MESH:D006333', 'Disease') :: ['acute heart failure'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction', 'MI', 'type of MI'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity63 :: ('MESH:D007511', 'Disease') :: ['transient ischemic attack', 'TIA'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity2299 :: ('MESH:D050171', 'Disease') :: ['dyslipidemia'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity453 :: ('MESH:D003324', 'Disease') :: ['CAD', 'coronary artery disease'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
