{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:57:30Z","timestamp":1785776250466,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite advances in primary percutaneous coronary intervention (PCI), patients with ST\u2010elevation myocardial infarction (STEMI) continue to experience major adverse cardiovascular events (MACE) in the contemporary era. Existing risk scores (TIMI, GRACE, PAMI, CADILLAC) are outdated, mortality\u2010focused, and largely derived in the fibrinolytic era from high\u2010income settings, limiting their global relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This prospective study aimed to develop a novel model to predict short\u2010term (approximately 8 months) MACE after primary PCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>STEMI patients presenting at the largest cardiac care center in Pakistan were prospectively enrolled to develop a model for predicting short\u2010term (approximately 8 months) MACE. The predictive performance of the newly developed model was compared with the existing scores in the 20% testing cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The complete cohort comprised 2839 patients, of whom 2250 (79.3%) were men, with a mean age of 55.6\u2009\u00b1\u200911.2 years. A total of 580 patients (20.4%) were randomly assigned to the testing cohort. At a median follow\u2010up of 244 [175\u2013393] days, MACE was documented in 521 patients (18.4%), with 97 (16.7%) in the testing cohort and 424 (18.8%) in the training cohort. The new additive model yielded an AUC of 0.772 [95% CI: 0.72\u20130.83] with the NRI (net reclassification improvement) of 0.239 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), 0.268 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), 0.086 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.322), and 0.061 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.445) against TIMI, PAMI, CADILLAC, and GRACE scores, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The NICVD predictive instrument outperformed the existing TIMI and PAMI scores and showed accuracy comparable to that of the GRACE and CADILLAC scores in predicting short\u2010term MACE after primary PCI. And the model's enhanced predictive accuracy makes it a valuable tool for clinicians, enabling more enhanced risk stratification of STEMI patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70657","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T03:47:08Z","timestamp":1778730428000},"page":"343-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of NICVD\u2010NQ Score for Predicting Short\u2010Term Outcomes After Primary PCI"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6580-7193","authenticated-orcid":false,"given":"Rajesh","family":"Kumar","sequence":"first","affiliation":[{"name":"National Institute of Cardiovascular Diseases (NICVD) Karachi 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Institute of Cardiovascular Diseases (NICVD) Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romana","family":"Awan","sequence":"additional","affiliation":[{"name":"National Institute of Cardiovascular Diseases (NICVD) Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustajab","family":"Mujtaba","sequence":"additional","affiliation":[{"name":"National Institute of Cardiovascular Diseases (NICVD) Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Bin","family":"Naseer","sequence":"additional","affiliation":[{"name":"National Institute of Cardiovascular Diseases (NICVD) Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Rasool","sequence":"additional","affiliation":[{"name":"National Institute of Cardiovascular Diseases (NICVD) Karachi 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