Comparison of SVEAT and HEART scoring in acute chest pain

Abstract

Aims: It is very important to evaluate patients presenting with chest pain in terms of major adverse cardiovascular events (MACE) and many risk scoring systems have been developed for this purpose. In this study, we aimed to evaluate the MACE prediction performance of the newly developed symptoms, history of vascular disease, electrocardiography, age and troponin (SVEAT) score for patients presenting with chest pain. Methods: This study was designed as a retrospective observational clinical trial. MACE occurring within 30 days; Myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) and sudden cardiac death were considered the primary endpoints of the study. Patients over 18 years of age presenting with chest pain were included in the study. Patients with ST segment elevation on electrocardiography (ECG), hemodynamic instability and traumatic chest pain were excluded. Results: The study included 557 patients and the mean age was 54.52±12.56 and the age distribution range was 23-95. Significant results for SVEAT score (AUC:0.988, 95%CI:0.978-0.997, p<0.001) and history, electrocardiography, age, risk factors and troponin (HEART) score (AUC:0.960, 95%CI:0.942-0.979, p<0.001) were obtained from ROC analysis of the effect of SVEAT and HEART scores on MACE. Conclusion: The newly developed SVEAT score was superior to the HEART score in predicting adverse negative cardiac events in patients presenting with chest pain.

Keywords

• Chest pain
• emergency
• risk score
• cardiovascular event

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