Chest pain in the emergency department: Risk stratification with Manchester triage system and HEART score

BMC Cardiovascular Disorders

Volumn 15, Issue 1, 2015, Pages

  Leite, Luís ^a   Baptista, Rui ^a   Leitão, Jorge ^a   Cochicho, Joana ^a   Breda, Filipe ^a   Elvas, Luís ^a   Fonseca, Isabel ^a   Carvalho, Armando ^a   Costa, José Nascimento ^a  

^a CENTRO HOSPITALAR E UNIVERSITÁRIO DE COIMBRA   (Portugal)

Author keywords

Acute coronary syndrome; Angina pectoris; Chest pain; Emergency department; HEART score; Manchester triage system

Indexed keywords

ACUTE CORONARY SYNDROME; ADULT; AGED; ARTICLE; CARDIOVASCULAR RISK; CAUSE OF DEATH; CHRONIC KIDNEY DISEASE; COHORT ANALYSIS; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; EMERGENCY WARD; FEMALE; HEART INFARCTION; HEART SCORE; HUMAN; MAJOR CLINICAL STUDY; MALE; MANCHESTER TRIAGE SYSTEM; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROGNOSIS; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; REVASCULARIZATION; RISK STRATIFICATION; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; SMOKING; THORAX PAIN; AGE; ANGINA PECTORIS; CHEST PAIN; EMERGENCY HEALTH SERVICE; HOSPITAL EMERGENCY SERVICE; MIDDLE AGED; PROCEDURES; RISK FACTOR; VERY ELDERLY;

ACUTE CORONARY SYNDROME; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; ANGINA PECTORIS; CHEST PAIN; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PROGNOSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SEX FACTORS; TRIAGE;

EID: 84931062530     PISSN: None     EISSN: 14712261     Source Type: Journal    
DOI: 10.1186/s12872-015-0049-6     Document Type: Article

References (15)

1. Fernández JB, Ezquerra EA, Genover XB, O'Callaghan AC, Gárriz I, Nácher J, et al. Chest pain units. Organization and protocol for the diagnosis of acute coronary syndromes. Rev Esp Cardiol. 2002;55:143-54.
2. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report. 2008;7:1-38.
3. Cooke MW, Jinks S. Does the Manchester triage system detect the critically ill? J Accid Emerg Med. 1999;16:179-81.
4. Backus BE, Six AJ, Kelder JC, Mast TP, van den Akker F, Gijis Mast EG, et al. Chest pain in the emergency room: a multicenter validation of the HEART Score. Crit Pathw Cardiol. 2010;9:164-9.
5. Hamm CW, Bassand J-P, Agewall S, Bax J, Boersma E, Bueno H, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation. Eur Heart J. 2011;32:2999-3054.
6. Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16:191-6.
7. Martínez-Sellés M, Bueno H, Sacristán A, Estévez A, Ortiz J, Gallego L, et al. Chest pain in the emergency department: incidence, clinical characteristics and risk stratification. Rev Esp Cardiol. 2008;61:953-9.
8. Burman RA, Zakariassen E, Hunskaar S. Acute chest pain -a prospective population based study of contacts to Norwegian emergency medical communication centres. BMC Emerg Med. 2011;11:9.
9. Hess EP, Perry JJ, Calder LA, Thiruganasambandamoorthy V, Roger VL, Wells GA, et al. Sex differences in clinical presentation, management and outcome in emergency department patients with chest pain. CJEM. 2010;12:405-13.
10. Erhardt L, Herlitz J, Bossaert L, Halinen M, Keltai M, Koster R, et al. Task force on the management of chest pain. Eur Heart J. 2002;23:1153-76.
11. Groarke J, O'Brien J, Go G, Susanto M, Owens P, Maree AO. Cost burden of non-specific chest pain admissions. Ir J Med Sci. 2013;182(1):57-61.
12. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2012;2012(33):1635-701.
13. Pinto D, Lunet N, Azevedo A. Sensitivity and specificity of the Manchester Triage System for patients with acute coronary syndrome. Rev Port Cardiol. 2010;29:961-87.
14. Providência R, Gomes PL, Barra S, Silva J, Seca L, Antunes A, et al. Importance of Manchester Triage in acute myocardial infarction: impact on prognosis. Emerg Med J. 2011;28:212-6.
15. Backus BE, Six AJ, Kelder JH, Gibler WB, Moll FL, Doevendans PA. Risk scores for patients with chest pain: evaluation in the emergency department. Curr Cardiol Rev. 2011;7:2-8.