The MECKI score (Metabolic Exercise Cardiac Kidney Index) is based on an algorithm developed by the Centro Cardiologico Monzino (Italy), which will make it possible to assess the individual mortality risk of patients and consequently to identify the subjects most in need of treatment. The MECKI calculation is based on the values of the cardiopulmonary test together with other echocardiographic and laboratory parameters: haemoglobin, sodium, renal function, left ventricular ejection fraction, peak oxygen consumption and ventilatory efficiency under stress. This algorithm entered the clinical practice of cardiologists in Europe following its official introduction into the guidelines of the European Society of Cardiology (ESC). The calculator is available online and is also available in an iPad version, which can be downloaded free of charge from iTunes.


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