Improving early risk stratification in patients
presenting to emergency department with suspected acute coronary syndrome
TH Rainer1, AT Ahuja2, CA
Graham1, BPY Yan3, JKT Wong2, CPY Chan1
1 Accident & Emergency Medicine
Academic Unit, Faculty of Medicine, The Chinese University of Hong Kong
2 Department of Imaging and
Interventional Radiology, Faculty of Medicine, The Chinese University of
Hong Kong
3 Department of Medicine and
Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong
1. In patients presenting to the emergency
department with chest pain of possible acute coronary syndrome, the use of
both the modified thrombolysis in myocardial infarction (mTIMI) score and
the modified history, electrocardiography, age, risk factors and troponin
(mHEART) score, together with the high-sensitivity cardiac troponin T
(hs-cTnT) test and electrocardiography, enables safe and early discharge
in 20% of cases.
2. A scoring system that combines the results of mTIMI, mHEART, hs-cTnT, electrocardiography, and heart-type fatty acid-binding protein may accurately risk-stratify patients for deposition decision.
2. A scoring system that combines the results of mTIMI, mHEART, hs-cTnT, electrocardiography, and heart-type fatty acid-binding protein may accurately risk-stratify patients for deposition decision.