Diferencia entre revisiones de «Template:HEART Score»

(Created page with "*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: va...")
 
Sin resumen de edición
 
Línea 1: Línea 1:
*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>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</ref><ref>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</ref>
*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>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</ref><ref>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</ref>


*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''
{{HEART Score Calculator}}
 
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Criteria'''
| align="center" style="background:#f0f0f0;"|'''Point Value'''
|-
! colspan="2" style="background: #ffdead;"| History
|-
| Highly Suspicious||+2
|-
| Moderately Suspicious||+1
|-
| Slightly Suspicious||0
|-
! colspan="2" style="background: #ffdead;"| ECG
|-
| Significant ST-depression||+2
|-
| Non specific repolarisation disturbance||+1
|-
| Normal||0
|-
! colspan="2" style="background: #ffdead;"| Age
|-
| ≥ 65||+2
|-
| 45-65||+1
|-
| ≤ 45||0
|-
! colspan="2" style="background: #ffdead;"| 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
|-
! colspan="2" style="background: #ffdead;"| 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

Revisión actual - 06:05 22 mar 2026

  • The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events[1][2]

HEART Score

HEART Score Calculator
Criteria Select One
History Slightly suspicious (0) Moderately suspicious (+1) Highly suspicious (+2)
EKG Normal (0) Non-specific repolarization disturbance (+1) Significant ST deviation (+2)
Age <45 (0) 45–64 (+1) ≥65 (+2)
Risk Factors

HTN, hypercholesterolemia, DM, obesity (BMI >30), smoking, family hx CVD, or hx atherosclerotic disease

No known risk factors (0) 1–2 risk factors (+1) ≥3 risk factors or hx atherosclerotic disease (+2)
Initial Troponin ≤normal limit (0) 1–3× normal limit (+1) >3× normal limit (+2)
HEART Score / 10
Interpretation
0–3 Low Risk — 0.9–1.7% risk of MACE. Consider discharge with outpatient follow-up.
4–6 Moderate Risk — 12–16.6% risk of MACE. Consider admission for observation and further workup.
7–10 High Risk — 50–65% risk of MACE. Consider early invasive measures (cardiology consult, catheterization).
References
  • Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191-196. PMID 18665203.
  • Backus BE, Six AJ, Kelder JC, et al. Prospective validation of the HEART score for chest pain patients. Int J Cardiol. 2013;168(3):2153-2158. PMID 23465250.
  • Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203. PMID 25737484.
  1. ↑ 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
  2. ↑ 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
Obtenido de «https://www.wikem.org/w/index.php?title=Template:HEART_Score&oldid=388702»