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

Abstract

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 p..