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- W2753939911 abstract "The HEART score has gained wide popularity among emergency physicians across the world for risk stratification of patients presenting with acute chest pain. HEART score uses clinical gestalt as one of its parameters, which may change from one provider to another, as opposed to emergency department assessment of chest pain score accelerated diagnostic protocol (EDACS-ADP) which has well-defined symptoms with positive and negative scores. The Modified HEART score incorporates highly sensitive troponin I in place of conventional troponin I. We carry out this study to compare effectiveness of the modified HEART score with EDACS-ADP towards 30-day major adverse cardiac event (MACE) from the time of presentation, in patients presenting to the emergency department with suspected acute myocardial infarction. This was a prospective observational study, of adult patients who presented to the emergency department with hemodynamically stable chest pain and non-ST elevation acute coronary syndrome over a period of 8 months (August 2016-March 2017). Patients were followed for 30 days after initial presentation for any major adverse cardiac events including documented myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft or death. The Modified HEART score and EDACS-ADP was calculated and compared with MACE. A total of 334 patients were included in the study. Of the total, 244 (73%) and 218 (65%) patients were identified as low risk by the Modified HEART score (score ≤ 3) and the EDACS-ADP (score <16 along with normal high sensitive troponin I and no ST-T changes on ECG), of which 1 and 0 had MACE in 30 days (P =1), respectively. Fifty percent of patients with modified HEART score > 3 had MACE, while 24% had MACE in those with EDACS-ADP ≥16 (p=0.2). EDACS-ADP and modified HEART score are comparable in safe dis-position of the patients." @default.
- W2753939911 created "2017-09-25" @default.
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- W2753939911 date "2017-10-01" @default.
- W2753939911 modified "2023-09-25" @default.
- W2753939911 title "45 Effectiveness of Modified HEART Score Versus Emergency Department Assessment of Chest Pain Score Accelerated Diagnostic Protocol for Low Risk Chest Pain: A Prospective Observational Study" @default.
- W2753939911 doi "https://doi.org/10.1016/j.annemergmed.2017.07.069" @default.
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