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RELATIONSHIP BETWEEN ACUTE CORONARY SYNDROME AND HEART SCORE IN ELDERLY PATIENT WITH CHEST PAIN
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Abstract
Objectives: Comment on the relationship between acute coronary syndrome (ACS) and HEART score in elderly patients with chest pain. Subjects and research methods: Prospective, cross-sectional descriptive study; conducted in 133 patients hospitalized for chest pain at the National Geriatric hospital from August 2021 to July 2022. Results: History, risk factors, troponin are different with statistical significance between 2 groups of patients with ACS and chest pain by other causes. The components of electrocardiogram, age between 2 groups of patients are not different. The higher HEART score, the higher rate of acute coronary syndrome: the group ≥ 7 points has 95.1% of ACS; group 4-6 points is 30.1%; group 0-3 points is 0%. The average HEART point in ACS group is 6.87 ± 1.12 and in no ACS group is 4.28 ± 1.22; the statistical difference with p < 0.01. Conclusion: The HEART score can predict acute coronary syndrome at high level: in this study, the ROC of HEART score is 0.938; The cutting point is 5.5 to diagnose of acute coronary syndrome in research group with a sensitivity of 88.5%, the specificity of 84.7%.
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Keywords
HEART score, acute coronary syndrome, elderly chest pain.
References
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