The aim of this study was a comparison of risk stratification for death in patients after myocardial infarction (MI) and of risk stratification for malignant arrhythmias in patients with implantable cardioverter-defibrillator (ICD). The individual risk factors and more complex approaches were used, which take into account that a borderline between a risky and non-risky value of each predictor is not clear-cut (fuzzification of a critical value) and that individual risk factors have different weight (area under receiver operating curve – AUC or Sommers´ D – Dxy). The risk factors were baroreflex sensitivity, ejection fraction and the number of ventricular premature complexes/hour on Holter monitoring. Those factors were evaluated separately and they were involved into logit model and fuzzy models (Fuzzy, Fuzzy- AUC, and Fuzzy-Dxy). Two groups of patients were examined: a) 308 patients 7-21 days after MI (23 patients died within period of 24 month); b) 53 patients with left ventricular dysfunction examined before implantation of ICD (7 patients with malignant arrhythmia and electric discharge within 11 month after implantation). Our results obtained in MI patients demonstrated that the application of logit and fuzzy models was superior over the risk stratification based on algorithm where the decision making is dependent on one parameter. In patients with implanted defibrillator only logit method yielded statistically significant result, but its reliability was doubtful because all other tests were statistically insignificant. We recommend evaluating the data not only by tests based on logit model but also by tests based on fuzzy models.
- MeSH
- algoritmy MeSH
- baroreflex MeSH
- časové faktory MeSH
- defibrilátory implantabilní MeSH
- elektrická defibrilace přístrojové vybavení MeSH
- elektrokardiografie ambulantní MeSH
- financování organizované MeSH
- fuzzy logika MeSH
- hodnocení rizik MeSH
- infarkt myokardu mortalita patofyziologie MeSH
- komorové extrasystoly patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- logistické modely MeSH
- prognóza MeSH
- reprodukovatelnost výsledků MeSH
- rizikové faktory MeSH
- ROC křivka MeSH
- senioři MeSH
- srdeční arytmie patofyziologie prevence a kontrola MeSH
- tepový objem MeSH
- ukazatele zdravotního stavu MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- Publikační typ
- srovnávací studie MeSH
