Author + information
- Reshma Reddy Golamaria,b,
- Sandhya Vunnama,b,
- Smitha Moparthia,b,
- Neethi Venkatappaa,b,
- Wei Yanga,b,
- Eddy Mizrahia,b and
- Priyanka Bhattacharyaa,b
Background: Differentiating acute coronary syndromes from other causes of chest pain via risk scoring systems help with cardiac risk stratification. We utilized HEART and TIMI scores to predict major adverse cardiology events (MACE) in low cardiovascular risk African-American patients.
Methods: A retrospective chart review of 1266 patients who presented to the emergency department was done. 447 patients with either acute coronary syndromes or high-risk chest pains were excluded. HEART scores were categorized as low (1-3), moderate (4-6) and high (>7); TIMI scores as low (0-1) and high (>2). These scores were calculated to predict 3-month readmission and MACE at 6-weeks and 1-year.
Results: Of the 819 patients, 500 patients (mean age 38.29 (±13.06), 60.8% males (n=304), 95.4% African-American (477)) with TIMI score 0-3 had low HEART scores and 317 patients (mean age 58.44 (±12.23), 61.2% males (194), 93.9% African-Americans (297)) with TIMI score 0-5 had moderate HEART scores.
In moderate HEART score group, 6-weeks MACE was observed in 6 patients (0.73%), 1-year MACE was observed in 14 patients (β=2.04, p=0.001), and 64 patients had 3-month readmissions (β=1.16, p=0.001).
Conclusions: In low risk chest pain patients, HEART score is more predictive of 6-weeks MACE, TIMI score is more predictive of 1-year MACE and both scores are predictive of 3-month chest pain readmission. Furthermore, in our population, moderate HEART scores (4-6) are predictive of 1-year MACE and 3-month readmission.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Diabetes and Other Issues in Cardiovascular Prevention
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1277-069
- 2017 American College of Cardiology Foundation