The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia

Introduction: Chest pain is one of the most common reasons for patients visit to emergency department. The aim of diagnostic process in chest pain at emergency department is to identify both low risk and high risk patients for acute coronary syndrome. Our study objective is to evaluate the effect...

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Main Author:	Ayob, Muhammad Aslam
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RC705-779 Diseases of the respiratory system
Online Access:	http://eprints.usm.my/46578/1/Dr.%20Muhammad%20Aslam%20Ayob-24%20pages.pdf
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spelling	my-usm-ep.465782020-06-16T07:45:52Z The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia 2018 Ayob, Muhammad Aslam RC705-779 Diseases of the respiratory system Introduction: Chest pain is one of the most common reasons for patients visit to emergency department. The aim of diagnostic process in chest pain at emergency department is to identify both low risk and high risk patients for acute coronary syndrome. Our study objective is to evaluate the effectiveness of modified HEART score in patients presented with chest pain. Methods: Total of 175 patients presented with chest pain at Emergency Department Hospital Universiti Sains Malaysia (EDHUSM) were evaluated retrospectively. The modified HEART score was calculated using patient’s history, ECG, age, risk factor and CKMB/CK relative index. The endpoint was occurrence of major cardiac event (MACE) in 6 weeks’ time. The efficiency of modified HEART score was compared between low risk and non-low risk group. Result: Out of 175 patients evaluated, 30.9 percent of the patients was low risk (score 0-3) category of modified HEART score. However, 14.8% patients from low risk group developed MACE in 6 weeks’ time. The mean of modified HEART score for MACE in 6 weeks was 6.01 for non-low risk and 4.05 for low risk group and statically significant (p value <0.001). There was also significant association between non-low risk group of modified HEART score and the occurrence of MACE (x2=22.35, p<0.0.001). Conclusion: The modified HEART score can assist clinician with quick and reliable predictor outcome without complicated calculation technique. It is a useful alternative to original HEART score for the center without troponin test. The MHS was reliable to identify patients with non-low risk (score 4-10). On the other hand, the MHS cannot be dependable to risk stratified low risk patient and further testing needed for this group of patient. 2018 Thesis http://eprints.usm.my/46578/ http://eprints.usm.my/46578/1/Dr.%20Muhammad%20Aslam%20Ayob-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC705-779 Diseases of the respiratory system
spellingShingle	RC705-779 Diseases of the respiratory system Ayob, Muhammad Aslam The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
description	Introduction: Chest pain is one of the most common reasons for patients visit to emergency department. The aim of diagnostic process in chest pain at emergency department is to identify both low risk and high risk patients for acute coronary syndrome. Our study objective is to evaluate the effectiveness of modified HEART score in patients presented with chest pain. Methods: Total of 175 patients presented with chest pain at Emergency Department Hospital Universiti Sains Malaysia (EDHUSM) were evaluated retrospectively. The modified HEART score was calculated using patient’s history, ECG, age, risk factor and CKMB/CK relative index. The endpoint was occurrence of major cardiac event (MACE) in 6 weeks’ time. The efficiency of modified HEART score was compared between low risk and non-low risk group. Result: Out of 175 patients evaluated, 30.9 percent of the patients was low risk (score 0-3) category of modified HEART score. However, 14.8% patients from low risk group developed MACE in 6 weeks’ time. The mean of modified HEART score for MACE in 6 weeks was 6.01 for non-low risk and 4.05 for low risk group and statically significant (p value <0.001). There was also significant association between non-low risk group of modified HEART score and the occurrence of MACE (x2=22.35, p<0.0.001). Conclusion: The modified HEART score can assist clinician with quick and reliable predictor outcome without complicated calculation technique. It is a useful alternative to original HEART score for the center without troponin test. The MHS was reliable to identify patients with non-low risk (score 4-10). On the other hand, the MHS cannot be dependable to risk stratified low risk patient and further testing needed for this group of patient.
format	Thesis
qualification_level	Master's degree
author	Ayob, Muhammad Aslam
author_facet	Ayob, Muhammad Aslam
author_sort	Ayob, Muhammad Aslam
title	The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
title_short	The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
title_full	The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
title_fullStr	The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
title_full_unstemmed	The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia
title_sort	effectiveness of modified heart score in evaluating patient presented with chest pain to emergency hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/46578/1/Dr.%20Muhammad%20Aslam%20Ayob-24%20pages.pdf
_version_	1747821689355370496

The effectiveness of modified heart score in evaluating patient presented with chest pain to Emergency Hospital Universiti Sains Malaysia

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