So we all see a bunch of patients with undifferentiated chest pain every day at work. Once decided that it may be ‘cardiac sounding’ chest pain our next job is to RISK STRATIFY. Clinical risk prediction scores can be useful but only when combined with liberal amounts of common sense.
Tired of TIMI scores? Recently published HEART score may be more useful in an Emergency Department setting. It has 5 criteria to determine low/ moderate/ high risk of major adverse cardiac event (MACE). A low risk score gives a 1.7% 30 day risk of major adverse event…pretty good I think!
Here’s Amal Mattu to explain in detail http://blog.hippoem.com/2015/02/17/emrap-special-edition-a-defensible-chest-pain-adp/ (courtesy of EM:RAP)