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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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