Original Contribution Improving risk stratification in

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Original Contribution Improving risk stratification in

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by The Erlanger Hearts Score , Yu Cao Phd C , Gregory W. Heath Dhsc

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193	An updated coronary risk profile. A statement for health professionals. Circulation - KM, PW, et al. - 1991 (Show Context) Citation Context ...rmining which patients are at higher risk for significant CAD and ACS [3-6,13-23]. The Framingham score was developed in a large population cohort to predict the 5- and 10-year risk of developing CAD =-=[3]-=-. The Hubbard-Ho and Morise score were developed to predict risk of CAD in patients referred for stress testing [4-6]. The Thrombolysis In Myocardial Infarction (TIMI) score [14], Platelet Glycoprotei...
72	European Society of Cardiology and American College of Cardiology guidelines for redefinition of myocardial infarction: how to use existing assays clinically and for clinical trials. - FS, AH, et al. - 2002 (Show Context) Citation Context ...27 kg/m2 [6]. For HEART troponin assessment, the cutoff for an abnormal cardiac troponin was defined as the lowest cutoff value above the 99th percentile in which the assay imprecision is 10% or less.=-=[10,11]-=- This value for the Troponin I Axsym Fluorometric Enzyme Immunoassay (Abbott Laboratories, Abbott Park, IL) used in this study is 0.8 ng/mL [11]. The definition of the 3 additional S components of the...
68	Kuulasmaa K, Amouyel P, et al. Myocardial infarction and coronary deaths - Tunstall-Pedoe (Show Context) Citation Context ...depressions 6.79 (3.66-12.60) Age (y) b45 0.35 (0.25-0.48) 45-65 1.22 (1.10-1.35) N65 1.39 (1.15-1.69)modifiedWorld HealthOrganization criteria forMI that was in affect at the time of data collection =-=[12]-=-, the current American College ofCardiology/European Society of Cardiology criteria were retrospectively applied to the entire patient population [10]. Patients with MI were subdivided into AMI (patie...
56	Steyerberg EW, et al. 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 2000 - Boersma, KS (Show Context) Citation Context ...for stress testing [4-6]. The Thrombolysis In Myocardial Infarction (TIMI) score [14], Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) score =-=[15]-=-, and Global Registry of Acute Coronary Events (GRACE) score [16] were developed in patients with diagnosed as having ACS to predict the risk of death and recurrent MI. The GRACE and TIMI scores have ...
40	scores: sustained prognostic value and interaction with revascularisation in NSTE-ACS - P, Ferreira, et al.
34	White HD on behalf of the Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction. Universal redefinition of myocardial infarction. - Thygesen, JS - 2007 (Show Context) Citation Context ...core. 2.5. Main outcomes Myocardial infarction was defined according to the current American College of Cardiology and European Society of Cardiology criteria using troponin as the criterion standard =-=[10]-=-. Because the initial studies from this database used Table 2 Thirty-day adverse outcome in the 315 patients with 3Improving risk stratification in patients with chest painmm Hg on 2 ED measurements a...
12	et al. New risk score for patients with acute chest pain, non-ST-segment deviation, and normal troponin concentrations: a comparison with the TIMI risk score - Sanchis, Bodi, et al. (Show Context) Citation Context ...lower that identified only 458 (21.3%) patients with a 0.7% incidence of 30-day ACS. 4. Discussion diagnosed ACS and not to the undifferentiated ED patients with chest pain [20-23]. The Sanchis score =-=[17]-=- and the Vancouver rule [13] were developed specifically for ED patients with chest pain. Of interest, the Vancouver rule actually was developed in Canada with the intent of allowing up to a 2% miss r...
9	Chest pain in the emergency room: value of the HEART score - AJ, BE, et al. (Show Context) Citation Context ...is.fesmire@erlanger.org (F.M. Fesmire). 0735-6757/$ – see front matter © 2012 Published by Elsevier Inc. doi:10.1016/j.ajem.2012.03.017patients with chest pain: www.elsevier.com/locate/ajemchest pain =-=[1]-=-. It uses elements from patient History, Electrocardiogram (ECG), Age, Risk factors for coronary point in patients with scores of 0 to 3, 4 to 6, and 7 to 10 were 2.5%, 20.3%, and 72.7%, respectively....
8	A clinical prediction rule for early discharge of patients with chest pain,” - Christenson, Innes, et al. - 2006 (Show Context) Citation Context ...58 (21.3%) patients with a 0.7% incidence of 30-day ACS. 4. Discussion diagnosed ACS and not to the undifferentiated ED patients with chest pain [20-23]. The Sanchis score [17] and the Vancouver rule =-=[13]-=- were developed specifically for ED patients with chest pain. Of interest, the Vancouver rule actually was developed in Canada with the intent of allowing up to a 2% miss rate [13]. It is doubtful tha...
7	et al. Chest pain in the Emergency Room: a multicentre validation of the HEART score. Critical Pathways in Cardiology 2010;9:164–9 - BE, AJ, et al. (Show Context) Citation Context ...atients with chest pain at 4 hospitals in the Netherlands found similar rates for the composite end point (measured at 6 weeks) of 1.0%, 11.6%, and 65.2%, respectively, in the 3 subgroups of patients =-=[2]-=-. Although the authors do not specifically state that patients with a HEART score of 3 or lower can be safely discharged home without further evaluation, they do state that the HEART score can be used...
6	AC, et al. Comparison of cardiac risk scores in ED patients with potential acute coronary syndrome. Crit Pathw Cardiol - Lee, AM, et al.
4	et al. Prospective validation of a modified thrombolysis in myocardial infarction risk score in emergency department patients with chest pain and possible acute coronary syndrome. Acad Emerg Med 2010;17:368–75 - EP, JJ, et al.
3	Bernink PJL, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making - EM, Cohen (Show Context) Citation Context ...risk of developing CAD [3]. The Hubbard-Ho and Morise score were developed to predict risk of CAD in patients referred for stress testing [4-6]. The Thrombolysis In Myocardial Infarction (TIMI) score =-=[14]-=-, Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) score [15], and Global Registry of Acute Coronary Events (GRACE) score [16] were developed ...
3	M et al. Prospective comparison of the 5 most popular risk scores in clinical use for unselected patients with acute coronary syndrome - KJ, Koltowski, et al.
3	et al. Prospective validation of the thrombolysis in myocardial infarction risk core in the emergency department chest pain population. Ann Emerg Med 2006;48:252–9 - Chase, JL, et al.
3	Chest pain presenting to the emergency department: to stratify risk with GRACE or TIMI? Resuscitation - Lyon, AC, et al.
2	et al. Selective dual nuclear scanning in low-risk patients with chest pain to reliably identify and exclude acute coronary syndromes. Ann Emerg Med 2001 Sep;38(3):207 - FM, AD, et al. (Show Context) Citation Context ... older having suspected ACS presenting to Erlanger Medical Center during a 13-month period in whom data were prospectively collected. Results in this patient population have been previously described =-=[8,9]-=-. Exclusion criteria included patients presenting with chest pain in the presence of a tachyarrhythmia (ventricular tachycardia, supraventricular tachycardia, or rapid atrial fibrillation), patients w...
2	Dabbous OH, et al. Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med - CB, RJ (Show Context) Citation Context ...on (TIMI) score [14], Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) score [15], and Global Registry of Acute Coronary Events (GRACE) score =-=[16]-=- were developed in patients with diagnosed as having ACS to predict the risk of death and recurrent MI. The GRACE and TIMI scores have been applied with some success to ED patients with chest pain, al...
2	Diagnostic accuracy of clinical prediction rules to exclude acute coronary syndrome in the emergency department setting: a systematic review - EP, Thiruganasambandamoorthy, et al. - 2008 (Show Context) Citation Context ...cept even a 1% miss rate [24]. Despite showing a correlation with the risk of ACS and adverse outcome, none of these risk stratification systems have gained widespread acceptance in clinical practice =-=[25]-=-. Preliminary results of a prospective validation of the HEART score were reported at the 2010 Congress of the European Society of Cardiology [26]. The investigators reported that the HEART score outp...
2	Can the HEART score safely reduce stress testing and cardiac imaging in patients at low risk for major adverse cardiac events? Crit Pathw Cardiol - SA, BC, et al. (Show Context) Citation Context ...mitations The primary limitation of our study is the retrospective design, although we feel that this limitation is offset by the1070 low-risk patients with chest pain admitted to an observation unit =-=[27]-=-. Patients with a clinical assessment of “not low risk” or TIMI score less than 1were excluded from the observation unit protocol. Although not stated in the methodology, presumably patients with a hi...
1	Gibbons RJ, Lapeyre III AC, et al. Identification of severe coronary artery disease using simple clinical parameters. Arch Intern Med - BL
1	Use of a simple clinical score to predict prognosis of patients with normal or mildly abnormal resting electrocardiographic findings undergoing evaluation for coronary artery disease. Mayo Clin Proc 2002;77:515-21.having to subtract numbers. We also have - Ho, TD, et al.
1	A rapid rule out protocol for identification and exclusion of acute myocardial infarction: continuous 12-lead ECG monitoring in conjunction with the 2-hour ΔCK-MB. Am J Emerg Med 2000;18 - FM (Show Context) Citation Context ...CAD [3-6]. Finally, the HEART score does not take advantage of the incremental information obtained when one obtains serial ECG and repeat cardiac marker measurements during the initial ED evaluation =-=[7,8]-=-. This investigation seeks to improve on the HEART score by using likelihood ratio (LR) analysis to give appropriate weight to the individual elements of the HEART score, to create a HEART (weighted) ...
1	Fody EP, Stout PK, et al. The Erlanger protocol: A one year experience with serial 12-lead ECG monitoring, 2-hour delta serum marker measurements, and selective nuclear stress test to identify and exclude acute coronary syndromes. Ann Emerg Med - FM, AD (Show Context) Citation Context ...CAD [3-6]. Finally, the HEART score does not take advantage of the incremental information obtained when one obtains serial ECG and repeat cardiac marker measurements during the initial ED evaluation =-=[7,8]-=-. This investigation seeks to improve on the HEART score by using likelihood ratio (LR) analysis to give appropriate weight to the individual elements of the HEART score, to create a HEART (weighted) ...
1	The perils of low-risk chest pain. Ann Emerg Med 2010;56: 25A-8A - Greene (Show Context) Citation Context ...cores were developed specifically to predict outcome in patients withFig. 2 Incidence of MI and 30-day ACS in 2148emergency physicians in the United States are unwilling to accept even a 1% miss rate =-=[24]-=-. Despite showing a correlation with the risk of ACS and adverse outcome, none of these risk stratification systems have gained widespread acceptance in clinical practice [25]. Preliminary results of ...
1	et al. Comparison of the HEART, TIMI and GRACE risk scores for chest pain patients at the emergency department. Eur Heart J 2010;31(supplement):482 (Abstract - BE, AJ, et al. (Show Context) Citation Context ...ave gained widespread acceptance in clinical practice [25]. Preliminary results of a prospective validation of the HEART score were reported at the 2010 Congress of the European Society of Cardiology =-=[26]-=-. The investigators reported that the HEART score outperformed the GRACE and TIMI score for identification of a 6-week composite outcome of AMI, PCI, CABG, and death as measured by the area under the ...