HEART in the News
The HEART Score (Nederlands)
The HEART score is a newly developed scoring system for patients presenting with chest pain at the emergency room. By assigning zero, one, or two points — towards an atypical patient history, ECG abnormalities, the patient's age, any risk factors present, and elevated Troponine — patients receive a score on a scale of 0‒10. The HEART score has been validated in a retrospective study carried out at four hospitals in the Netherlands, as presented at the ESC 2009 in Barcelona. A prospective validation is nearing completion, of which the preliminary results have been presented at ESC 2010 and ACC 2010.
The HEART score has shown itself to be a potent, easy to use, and above all practical tool while categorizing patients as low, medium, or high risk. Patients who score 0‒3 points have a <1% chance of developing a cardiac event, those scoring 4‒6 points have a 12% chance, while those patients scoring 7 or higher have on average a 65% chance of developing an infarction, PTCA, CABG or death within six weeks after presentation. It is immediately apparent which patient is fit to be discharged and those who need immediate care. If used effectively the HEART score can encourage more efficient, safer, and more cost effective treatment of chest pain patients at the ER.
At ESC Barcelona 2009, Barbra Backus presented the results of the retrospective HEART score study. HEART is a scoring model which encourages more efficient, safer, and more cost effective treatment of patients with chest pains.
Copyright © 2010, HEART Study.