HEART score predicts the 6-week risk for major adverse cardiac events

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The HEART Score is a prospectively studied scoring system to help emergency departments risk-stratifiy chest pain patients within a 6 week period. The Calculator is intended to be used for patients presenting to the Emergency Department with Chest pain aged 18 years or older.

Research authors: A. J. Six, B. E. Backus, J. C. Kelder

Version: 2.5

Public
Cardiology
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V-2.5-250.24.05.31

(01)08719327522745(8012)v2.5(4326)240531(240)250

Download the User manual and consult the Intended purpose.

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The HEART score can assist physicians in risk stratifying patients for their chest pain.
Use of the HEART score could potentially lead to shorter hospital stays, fewer inappropriate interventions and more appropriate interventions.

MACE is defined as: all-cause mortality, myocardial infarction, or coronary revascularization.

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Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.

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Details

Algorithm author

Evidencio.Medical.Devices

Algorithm ID

10427

Version

2.5

Revision date

2024-05-31

Specialty

Cardiology

Algorithm type

Linear regression ^{(Calculation)}

MeSH terms

Heart

Ischemia, Myocardial

Assessment, Risk

Status

Public

Formula
No Formula defined yet

Condition	Formula

Study characteristics

Additional information

Study characteristics are based on HEART score validation model by Backus et al (2013).
A total of 2440 unselected patients presented with chest pain at the cardiac emergency department of ten participating hospitals in The Netherlands. The HEART score was assessed as soon as the first lab results and ECG were obtained. Primary endpoint was the occurrence of major adverse cardiac events (MACE) within 6 weeks.Secondary endpoints were (i) the occurrence of AMI and death, (ii) ACS and (iii) the performance of a coronary angiogram. The performance of the HEART score was compared with the TIMI and GRACE scores.

Study Population

Total population size: 2388

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Females: {{ model.numberOfFemales }}

Continuous characteristics

Name	Mean	SD	Unit
Age	60.6	15.4	Years
Systolic blood pressure	141.4	24.3	mmHg
Diastolic blood pressure	78.1	21.9	mmHg

Categorical characteristics

Name	Subset / Group	Nr. of patients
Risk factors	Diabetes Mellitus	444
Risk factors	Smoker	779
Risk factors	Hypercholesterolemia	856
Risk factors	Hypertension	1034
Risk factors	Family history	866
Risk factors	Obesity	582
History	History of acute myocardial infarction	379
History	History of coronary artery bypass graft	243
History	History of percutaneous coronary intervention	510
History	History of stroke	112
History	History of peripheral arterial disease	110

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V-2.5-250.24.05.31

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Total HEART score: points

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Details

Study characteristics

Additional information

Study Population

Continuous characteristics

Categorical characteristics

Supporting Publications

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	Evidencio B.V., Irenesingel 19, 7481 GJ Haaksbergen, The Netherlands
	V-2.5-250.24.05.31
	(01)08719327522745(8012)v2.5(4326)240531(240)250
	Decomplix AG, Freiburgstrasse 3, 3010 Bern, Switzerland
	Download the User manual
	Medical device In vitro diagnostic medical device