Evaluation of the HEART Score for Chest Pain Patients at the Emergency Department: An Institutional Based Study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 5935-5938
AbstractBackground: Chest pain representing acute coronary syndrome (ACS) is the most common reason patients presenting to the emergency department (ED) are admitted to the hospital. This study was a prospective validation of the HEART score for chest pain patients at the emergency department.
Materials & Methods: Patients admitted to the cardiac emergency department due to chest pain irrespective of age were included in the study. Complete patient history was taken. Only the troponin value of the first blood sample was used for the HEART score calculation. The primary endpoint in this study was the occurrence of a major adverse cardiac event (MACE), within six weeks of initial presentation. Statistical analysis was performed with R (Version 2.9; The R foundation for Statistical Computing, Vienna, Austria).
Results: In the present study total patients included were 400 in which total males were 72.5%. 15% patients had a history of AMI, 10.5% had history of CABG, 21.25% patients had history of PCI, 4.25% patients had history of stroke and 4% patients had history of peripheral arterial disease. 90 patients had MACE<6 weeks and 310 patients had no MACE<6 weeks. In the present study 90 patients had MACE<6 weeks and 310 patients had no MACE<6 weeks. The five elements of the HEART score differed significantly between the groups with and without MACE.
Conclusion: The present study concluded that HEART score differed significantly between the groups with and without MACE.
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