ACS Risk Stratification

Not a single clinical shift passes without evaluation of at least one patient with chest pain - Thomas del Ninno MD

ACS Risk Stratification
ACS Risk Stratification

image by: CHI Health

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HEART Pathway for Early Discharge in Acute Chest Pain

Many patients presenting with chest pain undergo unnecessarily extensive and costly evaluations to rule out ACS. The HEART Pathway can reduce the number of prolonged and invasive evaluations, while maintaining high sensitivity and negative predictive value for ACS. Unlike other scoring systems such as the TIMI Risk Index or the GRACE Risk Score, the HEART Pathway is designed to predict the likelihood of ACS in the patient presenting to the ED with acute chest pain. TIMI and GRACE scores are used to risk stratify patients who have been diagnosed with ACS.

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 HEART Pathway for Early Discharge in Acute Chest Pain

The HEART Pathway identifies patients who are safe for early discharge versus those who need observation, admission, and potentially emergent cardiology assessment. • While patients with ischemic changes on electrocardiogram (ECG) or elevated troponin may be classified as low-risk using the HEART Pathway, the creators recommend again.

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