How useful are the Heart Foundation risk criteria for assessment of emergency department patients with chest pain?

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Publication HistoryArticle first published online: 14 FEB 2012Accepted 30 December 2011 SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (152K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleGet Citation AlertsRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Get PDF (152K) Keywords:acute coronary syndrome;chest pain;risk stratificationAbstract

Objective: To investigate the prognostic utility of Heart Foundation (Australia) risk stratification table in an ED chest pain population.

Methods: A planned sub‐study of a prospective observational study of adult patients with potentially cardiac chest pain who underwent evaluation for acute coronary syndrome (ACS) was conducted. Data collected included demographical, clinical, ECG, biomarker and outcome data. Outcome of interest was diagnostic utility of the classification system for ACS or myocardial infarction (MI) at index presentation and major adverse cardiac events (MACE) within 7 and 30 days. MACE included death, cardiac arrest, revascularization, cardiogenic shock, arrhythmia and prevalent (cause of presentation) and incident (occurring within the follow‐up period) MI. Analysis was by descriptive and receiver–operator curve analyses.

Results: Seven hundred and sixty‐eight patients were studied; 109 had MI (14.2%, 95% confidence interval