Evaluation Efficacy of HEART Score in Prediction of Major Advanced Cardiac Events in Patients with Chest Pain

• DOI: 10.13005/bbra/2126
• Publication Date: 2016-06-30T07:57:32Z
• Authors: Ehsan Bolvardi; Pooya Raoufi; Veda Vakili; Hasan Jahed Taherani; Mina Movaffaghi; Mehran Bahramian; Koorosh Ahmadi
• Keywords: Pain score

Chest pain is one of the most common reasons for admitting patients to emergency room.The focus diagnostic process in chest at department identify both low and high risk an acute coronary syndrome (ACS).Numerous prediction scores have been developed fast accurate stratification ED, like HEART score that a new ED Pain score.In this prospective cohort study, we aimed evaluate efficacy 30 days major advanced cardiac events (MACE) patients.A total 100 unselected presented with Emam Reza Hospital Mashhad, from September 2015 until February 2016.The was assessed as soon first lab results ECG were obtained.Endpoint occurrence adverse within days.After 30-day follow-up, 24 (24 %) reached or more endpoints, AMI diagnosed 18 (18%), 2 (2%) underwent percutaneous intervention (PCI), One (1%) had artery bypass graft (CABG) surgery 3 (3%) died.Independent predictors MACE included age (P= 0.001).Hypertension independent predictor combined end point only female 0.006).Age troponin gender (Age P= 0.032 Tpi 0.000).The average no group 5.42 least 7.42 (P=0.000).In (points 0-3), 0%.In 4-6, 14.58%.In (7-10), occurred 41.46%.In our study increasing score: sensitivity decreased, specifity increased Positive predictive value increased.The helps making decisions room without use invasive procedure.The easy, quick reliable outcome patients.It facilitates communication between doctors, especially when discussing limited resources patients.In conditions who higher points, choices may appear clear.This analysis suggests can early discharge, attention admission clinical observation, appropriate treatment including noninvasive testing and/or strategies.