BACKGROUND

Chest pain is one of the most common presentations to the emergency department (ED), with a high admission rate in prior decades contributing to ED overcrowding. Over the years, various risk stratification systems have been developed, including the prominent HEART Score and Pathway. Patients are stratified into low, moderate, and high risk. Most “non–low-risk” patients are recommended for admission and objective cardiac testing.^1-5 The study by McGinnis et al. seeks to ask if the presence of known coronary artery disease (CAD) is predictive of major adverse cardiac events (MACE) in moderate-risk patients.

中文翻译：

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热点新闻：SGEM#370：聆听您的心脏（评分）……患有已知冠状动脉疾病的非低风险患者的 MACE 发生率

背景

胸痛是急诊科 (ED) 最常见的表现之一，过去几十年的高入院率导致急诊部人满为患。多年来，已经开发了各种风险分层系统，包括著名的 HEART 评分和路径。患者被分为低风险、中风险和高风险。建议大多数“非低风险”患者入院并进行客观的心脏检查。^1-5 McGinnis 等人的研究。试图询问已知冠状动脉疾病 (CAD) 的存在是否可以预测中度风险患者的主要不良心脏事件 (MACE)。