지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.4
- 발행연도
- 2021.12
- 수록면
- 279 - 288 (10page)
- DOI
- https://doi.org/10.15441/ceem.20.106
이용수
초록· 키워드
오류제보하기
Objective This study aimed to clarify the relative prognostic value of each History, Electrocardi ography, Age, Risk Factors, and Troponin (HEART) score component for major adverse cardiacevents (MACE) within 3 months and validate the modified HEART (mHEART) score.
Methods This study evaluated the HEART score components for patients with chest symptomsvisiting the emergency department from November 19, 2018 to November 19, 2019. All compo nents were evaluated using logistic regression analysis and the scores for HEART, mHEART, andThrombolysis in Myocardial Infarction (TIMI) were determined using the receiver operating char acteristics curve.
Results The patients were divided into a derivation (809 patients) and a validation group (298patients). In multivariate analysis, age did not show statistical significance in the detection ofMACE within 3 months and the mHEART score was calculated after omitting the age compo nent. The areas under the receiver operating characteristics curves for HEART, mHEART and TIMIscores in the prediction of MACE within 3 months were 0.88, 0.91, and 0.83, respectively, in thederivation group; and 0.88, 0.91, and 0.81, respectively, in the validation group. When the cutoffvalue for each scoring system was determined for the maintenance of a negative predictive val ue for a MACE rate >99%, the mHEART score showed the highest sensitivity, specificity, positivepredictive value, and negative predictive value (97.4%, 54.2%, 23.7%, and 99.3%, respectively).
Conclusion Our study showed that the mHEART score better detects short-term MACE in high risk patients and ensures the safe disposition of low-risk patients than the HEART and TIMIscores.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Antman EM / 2000 / The TIMI risk score for unstable angina/non-ST elevation MI : a method for prognostication and therapeutic decision making / JAMA 284:835~842
Boersma E / 2000 / Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation: results from an international trial of 9461 patients. The PURSUIT Investigators / Circulation 101:2557~2567
Chase M / 2006 / Prospective validation of the Thrombolysis in Myocardial Infarction Risk Score in the emergency department chest pain population / Ann Emerg Med 48:252~259
Elbarouni B / 2009 / Validation of the Global Registry of Acute Coronary Event(GRACE)risk score for in-hospital mortality in patients with acute coronary syndrome in Canada / Am Heart J 158:392~399
Fanaroff AC / 2015 / Does this patient with chest pain have acute coronary syndrome? : the rational clinical examination systematic review / JAMA 314:1955~1965
Boersma E / 2000 / Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation: results from an international trial of 9461 patients. The PURSUIT Investigators / Circulation 101:2557~2567
Chase M / 2006 / Prospective validation of the Thrombolysis in Myocardial Infarction Risk Score in the emergency department chest pain population / Ann Emerg Med 48:252~259
Elbarouni B / 2009 / Validation of the Global Registry of Acute Coronary Event(GRACE)risk score for in-hospital mortality in patients with acute coronary syndrome in Canada / Am Heart J 158:392~399
Fanaroff AC / 2015 / Does this patient with chest pain have acute coronary syndrome? : the rational clinical examination systematic review / JAMA 314:1955~1965
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Reliability of chest pain risk scores in cancer patients with suspected acute coronary syndrome
Clinical and Experimental Emergency Medicine
2020 .01
-
Multicenter observational study on the reliability of the HEART score
Clinical and Experimental Emergency Medicine
2019 .01
-
Erratum : Validation and modification of HEART score components for patients with chest pain in the emergency department
Clinical and Experimental Emergency Medicine
2022 .12
-
Effect of Cardiac Rehabilitation on Outcomes in Patients with ST-Elevation Myocardial Infarction
Yonsei Medical Journal
2019 .01
-
The predictive value of HEART score for acute coronary syndrome and significant coronary artery stenosis
Clinical and Experimental Emergency Medicine
2020 .01
-
Cognitive Function and Self-Care in Patients with Chronic Heart Failure
Korean Circulation Journal
2015 .01
-
Clinical Characteristics and Outcomes of Acute ST-Segment Elevation Myocardial Infarction in Younger Korean Adults
Korean Circulation Journal
2015 .01
-
New Scoring System for Predicting Mortality in Patients with COVID-19
Yonsei Medical Journal
2021 .09
-
Effectiveness and Safety of Biolimus A9TM-Eluting stEnt in Patients with AcUTe Coronary sYndrome; A Multicenter, Observational Study (BEAUTY Study)
Yonsei Medical Journal
2018 .01
-
Prognostic Role of High-sensitivity Cardiac Troponin I and Soluble Suppression of Tumorigenicity-2 in Surgical Intensive Care Unit Patients Undergoing Non-cardiac Surgery
Annals of Laboratory Medicine
2018 .01
-
External validation of the modified HOPPE score to predict low risk pulmonary embolism suitable for early discharge
Clinical and Experimental Emergency Medicine
2020 .01
-
Cardiovascular risk in chronic hepatitis B patients treated with tenofovir disoproxil fumarate or tenofovir alafenamide
Clinical and Molecular Hepatology
2024 .01
-
Repolarization Heterogeneity of Magnetocardiography Predicts Long-Term Prognosis in Patients with Acute Myocardial Infarction
Yonsei Medical Journal
2016 .01
-
Impaired Diastolic Recovery after Acute Myocardial Infarction as a Predictor of Adverse Events
Journal of Cardiovascular Imaging
2015 .01
-
Impact of Thrombus Aspiration on Clinical Outcomes in Korean Patients with ST Elevation Myocardial Infarction
전남의대학술지
2020 .01
-
Serum Copeptin Levels Predict Clinical Outcomes After Successful Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction
Annals of Laboratory Medicine
2018 .01
-
Prognostic role of NT-proBNP (N-terminal pro-brain natriuretic peptide) in patients with non-ST-segment elevation myocardial infarction: analysis based on propensity score matching and weighting
Journal of Biomedical and Translational Research
2017 .09
-
Prognostic Scores for Predicting Recurrence in Patients with Differentiated Thyroid Cancer
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Digital heart for life
The Korean Journal of Physiology & Pharmacology
2019 .01
-
젊은 급성 심근경색증 환자에서 좌심실 이완 기능 및 충만압이 관상동맥중재술 후 임상 경과에 미치는 영향
대한내과학회지
2018 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0