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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.7 No.4
- 발행연도
- 2020.1
- 수록면
- 275 - 280 (6page)
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초록· 키워드
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Objective The history, electrocardiogram, age, risk factors, troponin (HEART), the thrombolysis in myocardial infarction (TIMI), and Global Registry of Acute Coronary Events (GRACE) scores are useful risk stratification tools in the emergency department (ED). However, the accuracy of these scores in the cancer population is not well known. This study aimed to compare the performance of cardiac risk stratification scores in cancer patients with suspected acute coronary syndrome (ACS) in the ED. Methods This prospective cohort study recruited patients with cancer who visited the ED because of suspected ACS. The development of any major adverse cardiac events (MACE) within 6 weeks was recorded, with the study outcome being a MACE within 6 weeks of ED admission. Results A total of 178 patients participated in this study, of whom 5.6% developed a MACE. Statistically significant differences were found between the mean HEART and TIMI scores in predicting MACE. The HEART score had the highest area under the curve (0.64; 95% confidence interval, 0.48–0.81), highest sensitivity (80%), and highest negative predictive value (97.5) in patients with cancer. Conclusion We found a similar rate of MACE in cancer patients with low-risk chest pain compared to that in the general population. However, the HEART, TIMI, and GRACE scores had a lower performance in cancer patients with MACE compared to that in the general population.
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참고문헌 (22)
참고문헌 신청
Fuster V / 2005 / MDGs : chronic diseases are not on the agenda / Lancet 366:1512~1514
Rivera DR / 2017 / Trends in adult cancer-related emergency department utilization : an analysis of data from the nationwide emergency department sample / JAMA Oncol 3:e172450
Amsterdam EA / 2014 / 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes : a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines / Circulation 130:e344~e426
Lin YN / 2014 / Nationwide population-based cohort study on the association of acute coronary syndrome in patients with malignancies / Support Care Cancer 22:2707~2713
Cardinale D / 2004 / Prognostic value of troponin I in cardiac risk stratification of cancer patients undergoing high-dose chemotherapy / Circulation 109:2749~2754
Rivera DR / 2017 / Trends in adult cancer-related emergency department utilization : an analysis of data from the nationwide emergency department sample / JAMA Oncol 3:e172450
Amsterdam EA / 2014 / 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes : a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines / Circulation 130:e344~e426
Lin YN / 2014 / Nationwide population-based cohort study on the association of acute coronary syndrome in patients with malignancies / Support Care Cancer 22:2707~2713
Cardinale D / 2004 / Prognostic value of troponin I in cardiac risk stratification of cancer patients undergoing high-dose chemotherapy / Circulation 109:2749~2754
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