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HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study
Background: Chest pain represents a prevalent complaint in emergency departments (EDs), where the precise differentiation between acute coronary syndrome and alternative conditions assumes paramount significance. This pilot study aimed to assess the HEART score’s implementation in West Balkan EDs. M...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487379/ https://www.ncbi.nlm.nih.gov/pubmed/37685406 http://dx.doi.org/10.3390/healthcare11172372 |
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author | Šljivo, Armin Mulać, Ahmed Džidić-Krivić, Amina Ivanović, Katarina Radoičić, Dragana Selimović, Amina Abdulkhaliq, Arian Selak, Nejra Dadić, Ilma Veljković, Stefan Tomić, Slobodan Reiter, Leopold Valerian Kovačević, Zorana Tomić, Sanja |
author_facet | Šljivo, Armin Mulać, Ahmed Džidić-Krivić, Amina Ivanović, Katarina Radoičić, Dragana Selimović, Amina Abdulkhaliq, Arian Selak, Nejra Dadić, Ilma Veljković, Stefan Tomić, Slobodan Reiter, Leopold Valerian Kovačević, Zorana Tomić, Sanja |
author_sort | Šljivo, Armin |
collection | PubMed |
description | Background: Chest pain represents a prevalent complaint in emergency departments (EDs), where the precise differentiation between acute coronary syndrome and alternative conditions assumes paramount significance. This pilot study aimed to assess the HEART score’s implementation in West Balkan EDs. Methods: A retrospective analysis was performed on a prospective cohort comprising patients presenting with chest pain admitted to EDs in Sarajevo, Zenica, and Belgrade between July and December 2022. Results: A total of 303 patients were included, with 128 classified as low-risk based on the HEART score and 175 classified as moderate-to-high-risk. The low-risk patients exhibited younger age and a lower prevalence of cardiovascular risk factors. Laboratory and anamnestic findings revealed higher levels of C-reactive protein, ALT, and creatinine, higher rates of moderately to highly suspicious chest pain history, a greater number of cardiovascular risk factors, and elevated troponin levels in moderate-to-high-risk patients. Comparatively, among patients with a low HEART score, 2.3% experienced MACE, whereas those with a moderate-to high-risk HEART score had a MACE rate of 10.2%. A moderate-to-high-risk HEART score demonstrated a sensitivity of 91.2% (95%CI 90.2–93.4%) and specificity of 46.5% (95%CI 39.9–48.3%) for predicting MACE. Conclusion: This pilot study offers preliminary insights into the integration of the HEART score within the emergency departments of the West Balkan region. |
format | Online Article Text |
id | pubmed-10487379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104873792023-09-09 HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study Šljivo, Armin Mulać, Ahmed Džidić-Krivić, Amina Ivanović, Katarina Radoičić, Dragana Selimović, Amina Abdulkhaliq, Arian Selak, Nejra Dadić, Ilma Veljković, Stefan Tomić, Slobodan Reiter, Leopold Valerian Kovačević, Zorana Tomić, Sanja Healthcare (Basel) Article Background: Chest pain represents a prevalent complaint in emergency departments (EDs), where the precise differentiation between acute coronary syndrome and alternative conditions assumes paramount significance. This pilot study aimed to assess the HEART score’s implementation in West Balkan EDs. Methods: A retrospective analysis was performed on a prospective cohort comprising patients presenting with chest pain admitted to EDs in Sarajevo, Zenica, and Belgrade between July and December 2022. Results: A total of 303 patients were included, with 128 classified as low-risk based on the HEART score and 175 classified as moderate-to-high-risk. The low-risk patients exhibited younger age and a lower prevalence of cardiovascular risk factors. Laboratory and anamnestic findings revealed higher levels of C-reactive protein, ALT, and creatinine, higher rates of moderately to highly suspicious chest pain history, a greater number of cardiovascular risk factors, and elevated troponin levels in moderate-to-high-risk patients. Comparatively, among patients with a low HEART score, 2.3% experienced MACE, whereas those with a moderate-to high-risk HEART score had a MACE rate of 10.2%. A moderate-to-high-risk HEART score demonstrated a sensitivity of 91.2% (95%CI 90.2–93.4%) and specificity of 46.5% (95%CI 39.9–48.3%) for predicting MACE. Conclusion: This pilot study offers preliminary insights into the integration of the HEART score within the emergency departments of the West Balkan region. MDPI 2023-08-23 /pmc/articles/PMC10487379/ /pubmed/37685406 http://dx.doi.org/10.3390/healthcare11172372 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Šljivo, Armin Mulać, Ahmed Džidić-Krivić, Amina Ivanović, Katarina Radoičić, Dragana Selimović, Amina Abdulkhaliq, Arian Selak, Nejra Dadić, Ilma Veljković, Stefan Tomić, Slobodan Reiter, Leopold Valerian Kovačević, Zorana Tomić, Sanja HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title | HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title_full | HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title_fullStr | HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title_full_unstemmed | HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title_short | HEART Score and Its Implementation in Emergency Medicine Departments in the West Balkan Region—A Pilot Study |
title_sort | heart score and its implementation in emergency medicine departments in the west balkan region—a pilot study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487379/ https://www.ncbi.nlm.nih.gov/pubmed/37685406 http://dx.doi.org/10.3390/healthcare11172372 |
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