Why the study?
In emergency department patients presenting with acute chest pain, early identification of those at risk for major adverse cardiac events remains a key challenge.
Does the SVEAT score improve prediction of 90-day MACE compared to HEART and TIMI scores in emergency department patients presenting with acute chest pain?
Population
348 patients presenting with acute chest pain
Comparison
SVEAT score vs HEART score vs TIMI score
Follow-up
90 days
Key result
The SVEAT score predicted 90-day MACE with an AUC of 0.806, demonstrating higher specificity (0.86) but lower sensitivity (0.56) compared to the HEART and TIMI scores.
Authors
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SVEAT may aid chest pain triage via higher specificity; hypothesis-generating and should not yet change practice pending validation.
Cohort (n=348)
Does the SVEAT score improve prediction of 90-day MACE compared to HEART and TIMI scores in emergency department patients presenting with acute chest pain?
Effect estimate: AUC 0.806
The SVEAT score shows higher specificity but lower sensitivity than HEART and TIMI scores for predicting 90-day MACE in ED patients with chest pain, suggesting potential utility as a rule-in rather than a standalone screening tool.
Ayvaz et al. (2026) conducted a cohort in Acute chest pain (n=348). SVEAT score vs. HEART and TIMI scores was evaluated on 90-day major adverse cardiac events (MACE) (AUC 0.806). The SVEAT score predicted 90-day MACE with an AUC of 0.806, demonstrating higher specificity (0.86) but lower sensitivity (0.56) compared to the HEART and TIMI scores.
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