DOI: 10.36347/sjams.2021.v09i08.011

Pages: 1301-1305

Objective: To compare the heart score with emergency department assessment of chest pain score (EDACS) in prediction of MACE (Major Adverse Cardiac Events) among patients presenting with undifferentiated chest pain in north Indian setting. Methods: This study was conducted in the Department of Medicine, Prasad Institute of Medical Sciences. Lucknow. The study was approved by the Ethical Committee of the Institute. The consent was taken from each participant before including in the study. All patients presenting to Emergency department with undifferentiated chest pain were included in the study. A total of 118 patients were included in the study. Results: About one third of patients were below 50 years of age (35.6%) followed by 61-70 (34.7%) and 50-60 (29.7%) years. The mean age of patients was 58.33±12.86 years. Majority of patients were males (71.2%). The incidence of MACE was 53.4%. Both HEART and EDACS score were significantly (p<0.01) higher among patients whom MACE was present than absent. HEART score>5 correctly predicted 39% MACE cases with sensitivity and specificity of 73% and 49.1% respectively. However, EDACS score>16 correctly predicted 40.7% MACE cases with sensitivity and specificity of 76.2% and 54.5% respectively. Conclusion: This study shows that HEART and EDACS scores have good sensitivity in predicting MACE at the emergency department. The HEART and EDACS scores for chest pain patients at the emergency department provides the clinician with a quick and reliable predictor of outcome shortly after arrival of the patient, without computer-required calculating. In patients with high HEART scores (7-10) the high risk of MACE may indicate more aggressive policies.