NEW YORK (Reuters Health)—Use of the HEART score for evaluating patients with chest pain in the emergency department (ED) is not associated with increased major adverse cardiac events, compared with usual care, according to a study in nine Dutch hospitals.
“The routine use of the HEART score during the initial assessment of chest pain patients at the emergency department was just as safe as usual care,” Dr. Judith M. Poldervaart from University Medical Center Utrecht told Reuters Health by email. “It is likely that with increasing acceptance, confidence, and experience with the HEART score, the impact on health care resources and costs will increase.”
The History, Electrocardiogram, Age, Risk factors, and initial Troponin (HEART) score is used to stratify patients with chest pain according to their short-term risk of major adverse cardiac events (MACE). Its effect on daily practice is unknown, so some clinicians remain reluctant to adopt it for regular use.