![]() Eur Heart J 2005 26: 865-72.Acute coronary syndrome ( ACS) is the clinical manifestation of myocardial infarct and commonly the default working diagnosis in patients with new-onset chest pain suspected to be of cardiac ischemic origin. TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. BMJ 2006 333: 1091.ĭe Araújo Gonçalves P, Ferreira J, Aguiar C, Seabra-Gomes R. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). Arch Intern Med 2003 163: 2345-53.įox KA, Dabbous OH, Goldberg RJ, et al. Predictors of hospital mortality in the global registry of acute coronary events. for the Global Registry of Acute Coronary Events Investigators. Granger CB, Goldberg RJ, Dabbous OH, et al. Results from an international trial of 9461 patients. Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation. JAMA 2000 284: 835-42.īoersma E, Pieper KS, Steyerberg EW, et al. The TIMI risk score for unstable angina/ non-ST elevation MI. Current Researches in Anesthesia and Analgesia, July-August, 1953, page 260.Īntman EM, Cohen Mk Bernink PJLM, et al. A Proposal for a New Method of Evaluation of the Newborn Infant. Guidelines for the diagnosis and treatment of non ST-segment elevation Acute Coronary Syndromes. J Am Coll Cardiol 2007 50: e1-157.īassand JP, Hamm CW, Ardessino D, et al. Saunders/Elsevier, 2003.ĪCC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction. A companion to Braunwald’s heart disease. In: P Théroux (Ed.): Acute coronary syndromes. Acute coronary syndrome in the emergency department: Diagnosis, risk stratification, and management. The electrocardiogram in population studies: a classification system. Is the initial diagnostic impression of “Noncardiac Chest Pain” adequate to exclude cardiac disease? Ann Emerg Med 2004 44: 565-74.īlackburn H, Keys A, Simonson E, et. Miller CD, Lindsell CJ, Khandelwal S, et al. Long-term outcome after an early invasive versus selective invasive treatment strategy in patients with non-ST-elevation acute coronary syndrome and elevated cardiac troponin T (the ICTUS trial): a follow-up study. Hirsch A, Windhausen F, Thijssen JGP, Verheugt FWA, Cornel JH, De Winter RJ. In Zipes, Libby, Bonow and Braunwald (eds.): Braunwald’s Heart Disease. Unstable angina and non-ST elevation myocardial infarction. The HEART score is an easy, quick and reliable predictor of outcome in chest pain patients. The HEART score facilitates accurate diagnostic and therapeutic choices. A HEART score ≥7points, with a risk of 72.7%, supports early invasive strategies.Ĭonclusion. With a risk of 20.3%, a HEART score of 4-6 points implies admission for clinical observation. A HEART score of 0-3 points holds a risk of 2.5% for an endpoint and supports an immediate discharge. The HEART score in the patients with and without an endpoint was 6.51☑.84 and 3.71☑.83 (p<0.0001) respectively. Twenty-nine patients reached one or more endpoints: an acute myocardial infarction was diagnosed in 16 patients, 20 underwent revascularisation and two died. The predictive value of the HEART score for reaching an endpoint was evaluated in 120/122 patients. Clinical data from 122 patients referred to the emergency room for chest pain were analysed. The HEART score is the sum of these five considerations. Each can be scored with zero, one or two points, depending on the extent of the abnormality. Classical considerations for risk stratification are History, ECG, Age, Risk factors and Troponin (HEART). The diagnosis of non-ST-elevation acute coronary syndrome typically causes uncertainty. Chest pain is one of the most common causes of presentation to the emergency room.
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