Key result
HEART Pathway reduces objective cardiac testing ~12% vs usual care and safely enables early discharge.
Why the study?
The HEART Pathway was designed to more efficiently evaluate emergency department patients with acute chest pain for early discharge.
Effect estimate: 12% less
The updated HEART Pathway modifies the original score and adds a 3-hour troponin to efficiently identify ED patients with acute chest pain suitable for early discharge.
The HEART Pathway for Early Discharge in Acute Chest Pain identifies emergency department patients with acute chest pain as low risk for acute coronary syndrome and amenable to early discharge. The HEART Pathway was designed to more efficiently evaluate patients with acute chest pain using the previously validated HEART Score by making key modifications to the scoring rubric and adding a 3-hour troponin into an accelerated diagnostic pathway (ADP).
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Yadav et al. (2025) conducted a review in Acute chest pain concerning for acute coronary syndrome. HEART Pathway vs. Usual care was evaluated on Rate of objective cardiac testing (stress test, coronary CTA, or invasive coronary angiography) within 30 days of presentation (12% less). The HEART Pathway reduced the rate of objective cardiac testing by 12% compared to usual care and safely identified low-risk patients for early discharge.
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