HEART Score
Key result
The HEART score effectively risk-stratified emergency department patients with chest pain, with the combined endpoint occurring in 0.4% of patients with a score of 0-3 and 52.6% with a score of 7-10.
Why the study?
Does the HEART score accurately risk-stratify patients presenting to the emergency department with chest pain without ST-segment elevation?
Population
410 consecutive patients with chest pain presenting to the emergency department with no ST-segment elevations
Design
Cohort
Follow-up
3 months
Authors
Discussion
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Member takes
Implication
Supports HEART score for ED chest pain stratification; leaves open whether admission can be safely avoided in low-risk patients.
Study Design
Type
Cohort (n=410)
Structured PICO
Does the HEART score accurately risk-stratify patients presenting to the emergency department with chest pain without ST-segment elevation?
P
Population
410 consecutive patients presenting to the emergency department with chest pain and no ST-segment elevations, followed for 3 months.
E
Exposure
HEART score evaluation (incorporating history, electrocardiogram, age, risk factors, and troponin)
O
Outcome
Combined endpoint of cardiovascular death, myocardial infarction, or unplanned revascularization at 3 monthscomposite
The HEART score effectively risk-stratifies emergency department patients with chest pain, identifying a low-risk group (score 0-3) in whom hospital admission may be safely avoided.
Cite This Study
Melki et al. (2013) conducted a cohort in Chest pain without ST-segment elevation (n=410). HEART score was evaluated on Combined endpoint of cardiovascular death, myocardial infarction, or unplanned revascularization. The HEART score effectively risk-stratified emergency department patients with chest pain, with the combined endpoint occurring in 0.4% of patients with a score of 0-3 and 52.6% with a score of 7-10.