HEART Score: Difference between revisions
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*'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing. | *'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing. | ||
*'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology | *'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology | ||
==References== | |||
<references/> | |||
[[Category:Cardiology]] | [[Category:Cardiology]] |
Revision as of 16:26, 25 May 2017
- The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events[1][2]
- Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.
Criteria | Point Value |
History | |
---|---|
Highly Suspicious | +2 |
Moderately Suspicious | +1 |
Slightly Suspicious | 0 |
ECG | |
Significant ST-depression | +2 |
Non specific repolarisation disturbance | +1 |
Normal | 0 |
Age | |
≥ 65 | +2 |
45-65 | +1 |
≤ 45 | 0 |
Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity) | |
≥ 3 risk factors or history of atherosclerotic disease | +2 |
1-2 risk factors | +1 |
No risk factors known | 0 |
Troponin | |
≥ 3× normal limit | +2 |
1-3× normal limit | +1 |
≤ normal limit | 0 |
- 0-3: 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.
- 4-6: 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of troponin and provocative testing.
- ≥7: 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology
References
- ↑ Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.PMID 18665203
- ↑ Backus BE, Six AJ, Kelder JC, Bosschaert MA. et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8 PMID 2346525