March 1, 2018European Heart Journal Acute Cardiovascular Care
Improving outcomes of acute coronary syndromes through better risk stratification, earlier and more accurate diagnosis of acute myocardial infarction and assessment of frailty
Why the study?
Does a modified HEART score used at the patient's home reliably identify chest pain patients with a low probability of having an ACS?
Population
Patients presenting with recent onset chest pain without ST segment elevation
Design
Editorial
Authors
Discussion
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Member takes
Implication
A modified HEART score used at the patient's home can reliably identify low-risk chest pain patients, potentially reducing emergency department overcrowding and healthcare costs.
Structured PICO
Does a modified HEART score used at the patient's home reliably identify chest pain patients with a low probability of having an ACS?
P
Population
Patients presenting with recent onset chest pain without ST segment elevation
I
Intervention
Modified HEART score at the patient's home, incorporating only a single highly sensitive troponin T (hs cTn T) measurement
O
Outcome
Identification of chest pain patients with a low probability of having an acute coronary syndrome (ACS)
A modified HEART score used at the patient's home can reliably identify low-risk chest pain patients, potentially reducing emergency department overcrowding and healthcare costs.
Limitations
- False negative hs cTn T test results were observed in almost one in three patients
Cite This Study
Christiaan Vrints (2018) studied this question.