Bolus of LR: Heart Score

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June 20, 2014 by dailybolusoflr

The HEART Score
This score was derived to help identify and stratify patients who presented with concern for ACS who present to the ED.  Patients with a score of 0- 3 had a major adverse cardiac event rate of 1.7%; 4-6 had a major adverse cardiac event rate of 16.6%; 7-10 had a major adverse cardiac event rate of 50.1%.  These adverse events occurred within 6 weeks of the ED visit.
The HEART score for chest pain patients at the emergency department.
History (= anamnesis)
Highly suspicious
2
Moderately suspicious
1
Slightly or non-suspicious
0
ECG
Significant ST-depression
2
Nonspecific repolarization disturbance
1
Normal
0
Age
≥ 65 years
2
> 45 to < 65 years
1
≤ 45 years
0
Risk factors
≥ 3 risk factors, or history of atherosclerotic disease
2
1 or 2 risk factors
1
No risk factors known
0
Troponin
≥ 3 × normal limit
2
> 1 to < 3 × normal limit
1
≤ Normal limit
0
Total
The HEART score is composed of 5 components: history, electrocardiogram (ECG), age, risk factors and troponin. For each component 0, 1 or 2 points is given
This article is the prospective validation of the rule: Backus et al. 2013. Int. J Cardiol. 168(3): 2153-8.

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