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Subject Area

Emergency Medicine

Article Type

Original Study

Abstract

Objectives: Our objective in this study is to perform an external validation of the HEART score in the emergency department in one of the major tertiary care hospitals in Egypt, the Menoufia University hospital. Background: Many scores are used for risk stratification of chest pain patients. Most of them were designed for patients admitted in CCU. Differently HEART score was designed to be applied on chest pain patients presented to emergency department. Method: This study is prospective and cross-sectional. It included 268 patients with chest pain presented at the Emergency Department of Menoufia University Hospital. They were selected according to certain inclusion and exclusion criteria and then we applied HEART score for those patients which is calculated by a combination of results from 5 categories:(History, ECG, Age, Risk Factors, Troponin) and then we determined the outcome of each patient and whether he had Major Adverse Cardiac Event (MACE) or not. Results: This study included 268 cases with age of included patients ranged from 19 years to 78 years with mean of 45.08± 14.65 years. There were 54.5% males and 45.5% females with the mean HEART score was 2.84± 2.49 and ranged from zero to 9. Conclusion: The HEART score is reliable in predicting the major cardiac events in patients presenting with chest pain in the emergency department with excellent specificity and sensitivity.

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