对主要心血管不良事件的HEAR和HEART得分进行比较
1Department of Cardiology, İzmir Ödemiş State Hospital, İzmir, TUR.
Cureus
|November 29, 2023
概括
心脏评分显示在30天内在急诊室识别患有重大心血管不良事件 (MACE) 高风险的患者时,其效率高于心脏评分.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 临床风险分层的临床风险分层
背景情况:
- 在急诊室 (ED) 中,急性冠状动脉综合征 (ACS) 的有效风险分层对于患者管理和资源分配至关重要.
- 耳朵和心脏的分数是用来评估短期风险的主要不良心血管事件 (MACE) 的工具.
研究的目的:
- 为了比较HEAR得分与HEART得分的诊断准确性,用于预测胸痛患者的30天MACE.
- 评估这些分数在优化急诊室工作流程中的有用性.
主要方法:
- 一项前性研究涉及230名患者,他们向ED提出胸痛.
- 计算HEAR和HEART得分,其中MACE定义为MI,再血管化,死亡,心脏骤停,心脏性休克或30天内心律不整.
- 接收器操作特征 (ROC) 分析以确定最佳值并比较灵敏度和特异性.
主要成果:
- 在230名患者中,56名 (24.3%) 患有MACE.
- 两个分数的最佳值≤3为HEAR分数的灵敏度为0.77和特异性为0.78.
- 在相同的值下,HEART得分达到0.82的灵敏度和0.77的特异性.
结论:
- 无论是HEAR还是HEART分数系统都是管理ED胸痛患者的宝贵工具.
- 与HEAR得分相比,HEART得分在预测30天的MACE方面表现优越,与HEAR得分相比.
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