Evaluating the Diagnostic Accuracy of Heart Diseases with Chest Pain: Diagnostic Accuracy of Heart Diseases with Chest Pain

Aqeel Ahmed; Taif Hameed; Muhammad Saeed; Sagheer Uddin; Bilal Masood; Mir Mubarak

doi:10.54393/pjhs.v7i1.2972

Authors

Aqeel Ahmed Department of Cardiology, Mekran Medical College, Turbat, Pakistan
Taif Hameed Department of Biochemistry, Mekran Medical College, Turbat, Pakistan
Muhammad Saeed Department of Physiology, Mekran Medical College, Turbat, Pakistan
Sagheer Uddin Department of Biochemistry, Mekran Medical College, Turbat, Pakistan
Bilal Masood Department of Community Medicine, Bolan Medical College, Quetta, Pakistan
Mir Mubarak Department of Community Medicine, Mekran Medical College, Turbat, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i1.2972

Keywords:

Chest Pain, Myocardial Infarction, Electrocardiogram Changes, Adverse Events, HEART Score

Abstract

Cardiac diseases refer to sudden, severe cardiac events with life-threatening consequences, often linked to underlying cardiovascular issues, requiring immediate medical intervention. Objectives: To determine the predictive accuracy of the HEART score versus electrocardiogram (ECG) changes for predicting Cardiac events in patients with chest pain. Methods: The study was carried out at the Punjab Institute of Cardiology (PIC), Lahore, and the Mekran Medical College, Turbat, from September 2020 to March 2021. The cross-sectional study included 385 patients. The samples of blood were collected and measured. Patients' HEART scores were calculated. The data were stratified by gender, age, duration of symptoms, smoking, and diabetes. The positive and negative predictive value, sensitivity, specificity, and diagnostic accuracy of the HEART score for each stratum were calculated. Results: There were 269 (69.9%) male and 116 (30.1%) female. The average age was 62.34 ± 8.48, and the age ranged from 35 to 75 years old. The mean duration of the symptom was 4.71 ± 2.24 hours. In predicting adverse events on the HEART score, results showed that 327 (84.9%) were positive, while 373 (96.9%) were positive for ECG changes. The sensitivity, specificity, positive and negative predictive value for predicting adverse events on the HEART score versus ECG changes were 86.7%, 66.7%, 98.7%, and 13.7% respectively. Conclusions: The HEART score effectively predicts major adverse events in chest pain patients, suggesting its continued validation as a clinical tool for risk stratification in emergency departments.

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