Research Article

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.


 ≥65 years68; 44%
 45–64 years81; 53%
 <45 years5; 3%
 ST depression/elevation95; 62%
 LBBB and LVH14; 9%
 Nonspecific changes45; 29%
Risk factors
 ≥3 risk factors or history of CAD18; 12%
 1 or 2 risk factors121; 79%
 No risk factors15; 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.