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The HEART score is useful to predict cardiovascular risks and reduces unnecessary cardiac imaging in low-risk patients with acute chest pain.

Abstract The present study was to investigate whether the HEART score can be used to evaluate cardiovascular risks and reduce unnecessary cardiac imaging in China.Acute coronary syndrome patients with the thrombosis in myocardial infarction risk score < 2 were enrolled in the emergency department. Baseline data were collected and a HEART score was determined in each participant during the indexed emergency visit. Participants were follow-up for 30 days after discharge and the studied endpoints included acute myocardial infarction, cardiovascular mortality and all-cause mortality.A total of 244 patients were enrolled and 2 was loss of follow-up. The mean age was 50.4 years old and male patients accounted for 64.5%. Substernal pain and featured as pressure of the pain accounted for 34.3% and 39.3%, respectively. After 30 days' follow-up, no patient in the low-risk HEART score group and 2 patients (1.5%) in the high risk HEART score group had cardiovascular events. The sensitivity of HEART score to predict cardiovascular events was 100% and the specificity was 46.7%. The potential unnecessary cardiac testing was 46.3%. Cox proportional hazards regression analysis showed that per one category increase of the HEART score was associated with nearly 1.3-fold risk of cardiovascular events.In the low-risk acute chest pain patients, the HEART score is useful to physicians in evaluating the risk of cardiovascular events within the first 30 days. In addition, the HEART score is also useful in reducing the unnecessary cardiac imaging.
PMID
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Authors

Mayor MeshTerms

Severity of Illness Index

Keywords
Journal Title medicine
Publication Year Start




PMID- 29851795
OWN - NLM
STAT- MEDLINE
DCOM- 20180606
LR  - 20180606
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - The HEART score is useful to predict cardiovascular risks and reduces unnecessary
      cardiac imaging in low-risk patients with acute chest pain.
PG  - e10844
LID - 10.1097/MD.0000000000010844 [doi]
AB  - The present study was to investigate whether the HEART score can be used to
      evaluate cardiovascular risks and reduce unnecessary cardiac imaging in
      China.Acute coronary syndrome patients with the thrombosis in myocardial
      infarction risk score &lt; 2 were enrolled in the emergency department. Baseline
      data were collected and a HEART score was determined in each participant during
      the indexed emergency visit. Participants were follow-up for 30 days after
      discharge and the studied endpoints included acute myocardial infarction,
      cardiovascular mortality and all-cause mortality.A total of 244 patients were
      enrolled and 2 was loss of follow-up. The mean age was 50.4 years old and male
      patients accounted for 64.5%. Substernal pain and featured as pressure of the
      pain accounted for 34.3% and 39.3%, respectively. After 30 days' follow-up, no
      patient in the low-risk HEART score group and 2 patients (1.5%) in the high risk 
      HEART score group had cardiovascular events. The sensitivity of HEART score to
      predict cardiovascular events was 100% and the specificity was 46.7%. The
      potential unnecessary cardiac testing was 46.3%. Cox proportional hazards
      regression analysis showed that per one category increase of the HEART score was 
      associated with nearly 1.3-fold risk of cardiovascular events.In the low-risk
      acute chest pain patients, the HEART score is useful to physicians in evaluating 
      the risk of cardiovascular events within the first 30 days. In addition, the
      HEART score is also useful in reducing the unnecessary cardiac imaging.
FAU - Dai, Siping
AU  - Dai S
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Huang, Bo
AU  - Huang B
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Zou, Yunliang
AU  - Zou Y
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Guo, Jianbin
AU  - Guo J
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Liu, Ziyong
AU  - Liu Z
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Pi, Dangyu
AU  - Pi D
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Qiu, Yunhong
AU  - Qiu Y
AD  - Emergency Department, The Third People's Hospital of Huizhou, Huizhou.
FAU - Xiao, Chun
AU  - Xiao C
AD  - Department of Cardiology, the Third People's Hospital of Huizhou, Guangdong
      Province, China.
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Aged
MH  - Cardiac Imaging Techniques/methods/statistics &amp; numerical data
MH  - Cardiovascular Diseases/complications/*diagnosis
MH  - Chest Pain/*diagnosis/etiology
MH  - China
MH  - Female
MH  - Heart/diagnostic imaging
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Risk Assessment/*methods
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - *Severity of Illness Index
MH  - Unnecessary Procedures/methods/statistics &amp; numerical data
EDAT- 2018/06/01 06:00
MHDA- 2018/06/07 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/07 06:00 [medline]
AID - 10.1097/MD.0000000000010844 [doi]
AID - 00005792-201806010-00023 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10844. doi: 10.1097/MD.0000000000010844.