60-day major adverse cardiac events in emergency department patients with non-low modified HEART scores

A low (0 –3) History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score reliably identifies ED chest pain patients who are low risk for near-term major adverse cardiac events (MACE). To optimize sensitivity, many clinicians employ a modified HEART score by repeating troponin measurements and excluding patients with abnormal troponin values or ischemic electrocardiograms (ECGs). The residual MACE risk among patients with otherwise non-low (>4) modified HEART scores is thus likely much lower than when non-low original HEART scores.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research