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HEART Score For Chest Pain Patients

The HEART score is used to predict risk of major adverse cardiac events in chest pain patients. It evaluates 5 factors - History, ECG, Age, Risk factors, and Troponin levels - with higher scores indicating greater risk. A study of over 6,000 patients found that HEART score reliably predicted endpoints such as heart attack, with a 70% chance of cardiac events for those scoring 10 and only a 10% chance for those scoring 0. Validation studies confirmed the HEART score's ability to stratify patient risk levels in the emergency department.

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91 views2 pages

HEART Score For Chest Pain Patients

The HEART score is used to predict risk of major adverse cardiac events in chest pain patients. It evaluates 5 factors - History, ECG, Age, Risk factors, and Troponin levels - with higher scores indicating greater risk. A study of over 6,000 patients found that HEART score reliably predicted endpoints such as heart attack, with a 70% chance of cardiac events for those scoring 10 and only a 10% chance for those scoring 0. Validation studies confirmed the HEART score's ability to stratify patient risk levels in the emergency department.

Uploaded by

pratim dey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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HEART score for chest pain patients

History Highly suspicious 2


(Anamnesis)
Moderately suspicious 1
Slightly suspicious 0
ECG Significant ST-deviation 2
Non-specific repolarisation 1
disturbance / LBBB / PM

Normal 0
Age ≥ 65 years 2
45 – 65 years 1
≤ 45 years 0
Risk factors ≥ 3 risk factors or history of 2
atherosclerotic disease
1 or 2 risk factors 1
No risk factors known 0
Troponin ≥ 3x normal limit 2
1-3x normal limit 1
≤ normal limit 0
Total

Risk factors for atherosclerotic disease:


Hypercholesterolemia Cigarette smoking
Hypertension Positive family history
Diabetes Mellitus Obesity (BMI>30)
HEART score reliably predicts endpoints
80

P 70
e
r 60
c
e 50
n
t 40
a
g 30
e
20
M
A 10
C
E
0
0 1 2 3 4 5 6 7 8 9 10
HEART score

*MACE = Major Adverse Cardiac Event = Myocardial Infarction, PCI/CABG, all-cause death. Based on N=6174

Literature:
1. Chest pain in the emergency room: value of the HEART score.
Six AJ, Backus BE, Kelder JC. Neth Heart J. 2008;16:191-6.
2. Chest pain in the emergency room: a multicenter validation of the HEART Score.
Backus BE, Six AJ, Kelder JC, et al. Crit Pathways in Cardiol. 2010;9:164-9.
3. A prospective validation of the HEART score for chest pain patients at the emergency department.
Backus BE, Six AJ, Kelder JC, et al. Int J Cardiol. 2013;168:2153-8.
4. The HEART score for the assessment of patients with chest pain in the emergency department
Six AJ, Cullen L, Backus BE, et al. Crit Pathways in Cardiol 2013;12:121–126.
5. Impact of using the HEART score in chest pain patients at the emergency department: a stepped wedge, clus-
ter randomized trial. Poldervaart JM, et al. Annals of Internal Medicine. 2017. Epub ahead of print

Questions and comments:


Barbra Backus [email protected]
Jacob Six [email protected]
Judith Poldervaart [email protected]

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