Volume 27, Issue 142, December 2023

Chest pain risk score among Emergency Department patients: Systematic review

Ahmad Abdulelah Hakeem¹, Abdulrahman Ahmed Alamir², Mahdi Ali Alyami³, Elias Kassis⁴

¹Emergency Consultant, Prince Sultan Military Hospital, Riyadh, Saudi Arabia
²Saudi Board Emergency Resident, Prince Sultan Military Hospital, Riyadh, Saudi Arabia
³Saudi Board Emergency Resident, Prince Sultan Military Hospital, Riyadh, Saudi Arabia
⁴MBBS, Tishreen University, Latakia, Syria

ABSTRACT

Background: It's crucial to quickly and precisely stratify patients' risks based on chest pain in the emergency room. This group of patients were divided into three risk categories based on the HEART score, which predicts the shortterm occurrence of serious adverse cardiac events. To compile data on the prognostic value of chest pain risk scores among ED patients who have had MI excluded, we carried out a systematic review. Method: we conducted this Systematic review in accordance to PRISMA guidelines, we conducted a literature search through databases for studies included adult patients with MI excluded by a high-sensitivity troponin test between 2012 and 2022. Searches were conducted across six electronic databases. 6 studies were included in the systematic review. Results: At various cutoff values, risk scores such as the GRACE score, NOT rule, TIMI score, History, Age, ECG, Risk Factors, and HEART Score were evaluated, and the TIMI score were performed in included studies. The majority of participants in all the studies were men. Throughout the included trials, there was significant variation in the incidence of the primary outcome (30-day MACE). Conclusion: The highest number of individuals at low risk of 30-day MACE was correctly recognized by the HEART score cutoff value of 3 or below.

Keywords: Emergency department, chest pain, myocardial infarction

Medical Science, 2023, 27, e397ms3279

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DOI: https://doi.org/10.54905/disssi.v27i142.e397ms3279

Published: 31 December 2023