Value of emergency chest pain score in predicting the risk of emergency chest pain

doi:10.3969/j.issn.1006-7795.2021.05.024

Abstract

Abstract: Objective To evaluate the value of Emergency Department Assessment of Chest Pain Score (EDACS) in predicting the risk of patients with chest pain, especially with acute coronary syndrome (ACS). Methods The scores were calculated by EDACS, patients with less than 16 scores were regarded as low-risk patients, and patients with more than 16 scores were regarded as high-risk patients. To compare the EDACs of patients with cardiogenic chest pain and non-cardiogenic chest pain, ACS and non ACS,acute myocardial infarction and unstable angina pectoris. The sensitivity and specificity of EDACs were calculated respectively. Results The EDACs of patients with cardiogenic chest pain, especially ACS, was significantly higher. The score of patients with myocardial infarction was similar to that of patients with unstable angina pectoris. If the patient with EDACs≥16 was diagnosed with cardiogenic chest pain,the sensitivity and specificity were 71.77% and 87.62%, respectively. If the patient with EDACs≥16 was diagnosed with ACS,the sensitivity and specificity were 72.92% and 83.98%, respectively. If the patient with EDACs≥16 was diagnosed with acute myocardial infarction,the sensitivity and specificity were 71.02% and 25.31%, respectively. Conclusion Patients with cardiogenic chest pain, especially ACS, can be distinguished by EDACS, but patients with acute myocardial infarction and unstable angina pectoris can not be.

Key words: Emergency Department Assessment of Chest Pain Score(EDACS), acute coronary syndrome, acute chest pain

CLC Number:

R714.252

Wang Yu, Han Jing, Cao Xiaojing, Jin Zening. Value of emergency chest pain score in predicting the risk of emergency chest pain[J]. Journal of Capital Medical University, 2021, 42(5): 847-851.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.05.024

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I5/847

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