心脏评分对胸痛中心就诊病人急性冠脉综合征的预测价值  

Predictive Value of HEART Score for Acute Coronary Syndrome in Patients with Chest Pain

作　　者：林德智[1] 张晓东[1] 袁权[1] Lin Dezhi;Zhang Xiaodong;Yuan Quan(The First People's Hospital of Neijiang,Neijiang 641000,Sichuan,China)

机构地区：[1]四川省内江市第一人民医院,四川内江641000

出　　处：《中西医结合心脑血管病杂志》2018年第23期3483-3485,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的探讨心脏评分(HEART)对胸痛中心就诊病人中发生急性冠脉综合征(ACS)的应用价值。方法选择2012年6月—2016年6月在胸痛中心就诊的非ST段抬高胸痛病人620例,分别进行HEART和全球ACS事件注册(GRACE)评分,并随访发病30 d后病人出现ACS的发病情况,根据评分对病人的危险程度进行分层,采用受试者工作特征曲线(ROC)对两种方法的准确性进行评估。结果随访期间共有83例病人发生ACS,按照HEART和GRACE评分段,低危、中危、高危的病人例数均具有统计学意义(P <0.05);GRACE评分预测ACS的ROC曲线下面积为0.759;HEART评分预测ACS的ROC曲线下面积为0.887,两者比较差异具有统计学意义(P <0.05)。结论 HEART适用于胸痛中心就诊病人发生ACS的病情评估和预后判断,具有较高的应用价值。Objective To evaluate the predictive value of HEART score for acute coronary syndrome(ACS)in patients with chest pain.Methods Forty-Six hundreds and twenty patients with non-ST-segment elevation chest pain in the Chest Pain Center from June2012to June2016were enrolled.The scores of HEART and Global Registry of Acute Coronary Events(GRACE)were evaluated.The onset of ACS were observed after follow-up of30days.The degree of risk was stratified according to the score.The accuracy of the two methods was evaluated by the receiver operating characteristic curve(ROC).Results The NT-There were83patients with ACS during the follow-up period.There was significant difference in the degree of risk according to HEART and GRACE scores(P<0.05).The GRACE score in the prediction of area under the ACS curve of ROC was0.759.HEART score in predicting ROC area under the ACS curve was0.887.There was significant difference between the two methods(P<0.05).Conclusion HEART can be used in the evaluation of ACS and prognosis in patients with chest pain.

关 键 词：急性冠脉综合征 心脏评分 全球ACS事件注册评分 病情评估 预后判断 应用价值 

分 类 号：R541.4[医药卫生—心血管疾病] R256.2[医药卫生—内科学]