Prediction of adverse cardiac outcomes in high-risk Mexican patients with chest pain in the emergency department

被引：2

作者：

Leon-Blanchet, Maria F. ^{[1
]}

Araiza-Garaygordobil, Diego ^{[1
]}

Reynier-Garza, Valeria ^{[1
]}

Gopar-Nieto, Rodrigo ^{[1
]}

Belderrain-Morales, Nallely ^{[1
]}

Sarabia-Chao, Vianney ^{[1
]}

Martinez-Amezcua, Pablo ^{[2
]}

Cabello-Lopez, Alejandro ^{[3
]}

Sandoval-Aguilar, Tomas T. ^{[1
]}

Arias-Mendoza, Alexandra ^{[1
]}

机构：

[1] Inst Nacl Cardiol Ignacio Chavez, Cardiol Dept, Mexico City, DF, Mexico

[2] Columbia Univ, Med Ctr, Dept Med, Div Gen Med, Irving, TX USA

[3] Natl Med Ctr Siglo XXI, Occupat Hlth Res Unit, IMSS, Mexico City, DF, Mexico

来源：

ARCHIVOS DE CARDIOLOGIA DE MEXICO | 2023年 / 93卷 / 02期

关键词：

Chest pain; Emergency department; Acute coronary syndromes; Cardiovascular Disease; Mayor adverse cardiovascular effects; SCORE; VALIDATION; REGISTRY;

D O I：

10.24875/ACM.22000041

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: The aim of the study was to compare the discriminative power and accuracy for prediction of MACE of five commonly used scoring tools in Mexican patients with chest pain who present to the ED. Methods: A single-center, prospective, observational, and comparative study of patients admitted to the ED with chest pain as the chief complaint. Five chest pain scoring systems were calculated. The primary endpoint was the composite of cardiovascular death, myocardial infarction, coronary intervention, coronary artery bypass grafting, or readmission for cardiovascular causes within 30 days. Results: A total of 168 patients were studied. The score which provided the highest area under the curve of 0.76 (95% CI: 0.70-0.85) was history, ECG, age, risk factors, and troponin (HEART) score. In addition, the integrated discrimination index for the HEART score was 6% higher when compared to the other four scores. Conclusions: The HEART score provided the best classification tool for identifying those patients

引用

页码：183 / 188

页数：6

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