Combined Use of High-Sensitive Cardiac Troponin, Copeptin, and the Modified HEART Score for Rapid Evaluation of Chest Pain Patients

Table 3

Modified HEART score: distribution of the components.

Characteristic	Outcome
Age
≥65 years	68; 44%
45–64 years	81; 53%
<45 years	5; 3%
Electrocardiogram
ST depression/elevation	95; 62%
LBBB and LVH	14; 9%
Nonspecific changes	45; 29%
Risk factors
≥3 risk factors or history of CAD	18; 12%
1 or 2 risk factors	121; 79%
No risk factors	15; 10%
Clinical presentation
High suspicion (3/3 criteria)	4; 2%
Moderate suspicion (2/3 criteria)	41; 27%
Low suspicion (0–1/3 criteria)	109; 71%

Data are presented as ; %. LBBB: left bundle branch block; LVH: left ventricular hypertrophy; CAD: coronary artery disease. Considered risk factors: hypertension, diabetes mellitus, and smoking history. History of CAD included the history of myocardial infarction, cardiac revascularization, or former diagnosis of coronary artery disease. Considered criteria: type of chest pain claimed as pressure, aggravation of chest pain with physical activity, and radiation to arms and/or shoulders.