The HEART score: A guide to its application in the emergency department
By W. Brady, K. D. de Souza. 2018
63 citations recorded by the source corpus.
Chest pain is one of the most common, potentially serious presenting complaints for adult emergency department (ED) visits. The challenge of acute coronary syndrome (ACS) identification with appropriate disposition is quite significant. Many of these patients are low risk and can be managed non-urgently in the outpatient environment; other patients, however, are intermediate to high risk for ACS and should be managed more aggressively, likely with inpatient admission and cardiology consultation. The HEART score, a recently derived clinical decision rule aimed at the identification of risk in the undifferentiated chest pain patient, is potentially quite useful as an adjunct to physician medical decision-making. The HEART score identifies patients at low, intermediate, and high risk for short-term adverse outcome resulting from ACS. As is true of all such clinical decision rules, the physician should consider the information provided the HEART score yet exercise clinical judgment in the ultimate determination of management strategy in the adult chest pain patient suspected of ACS.
Subfields: Cardiology and Cardiovascular Medicine, Critical Care and Intensive Care Medicine, Emergency Medicine
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In Cardiology and Cardiovascular Medicine
In Emergency Medicine
Citations in the corpus
- AutoScore: A Machine Learning–Based Automatic Clinical Score Generator and Its Application to Mortality Prediction Using Electronic Health Records (2020, background): “Accurate identification of patients at risk can be useful for appropriate allocations of medical resources [2-4].”