Use of downstream stress imaging tests for risk stratification of patients presenting to the emergency department with chest pain and low HEART score.

ABSTRACT:

Background

Patients with low HEART (History, Electrocardiogram, Age, Risk factors, and Troponin level) risk scores who are discharged from the emergency department (ED) may present clinical challenges and diagnostic dilemmas. The use of downstream non-invasive stress imaging (NISI) tests in this population remains uncertain. Therefore, this study aims to investigate the value of NISI in risk stratification and predicting cardiac events in patients with low-risk HEART scores (LRHSs).

Methods

We prospectively included 1384 patients with LRHSs between March 2019 and March 2021. All the patients underwent NISI (involving myocardial perfusion imaging/stress echocardiography). The primary endpoints included cardiac death, non-fatal myocardial infarction and unplanned coronary reva

SUBMITTER: Abazid RM 

PROVIDER: S-EPMC11367375 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature