急诊胸痛患者心血管不良事件预测中急性胸痛评分的应用准确性分析

目的 探讨急诊胸痛患者心血管不良事件预测中急性胸痛评分的应用准确性.方法 选取2017年1月至2019年12月因急性胸痛在本院就诊的300例患者作为研究对象,对其临床资料进行回顾性研究,比较不同状态患者急性胸痛评分情况.Logistic回归分析预后心血管不良事件的风险因素,分析急性胸痛评分对预后心血管不良事件的预测情况...

Accuracy analysis of acute chest pain score in predicting cardiovascular adverse events in emergency chest pain patients

Objective To investigate the accuracy of acute chest pain score in the prediction of cardiovascular adverse events in emergency chest pain patients.Methods A total of 300 patients with acute chest pain who visited our hospital from January 2017 to December 2019 were selected as the study subjects.The baseline clinical data of the patients were retrospectively studied to compare the score of acute chest pain in patients with different states.Logistic regression was used to analyze the risk factors of adverse cardiovascular events.Acute chest pain score was used to predict the prognosis of adverse cardiovascular events.Results The independent risk factors of emergency PCI and emergency admission were TIMI score,and the independent risk factors of emergency PCI,death within 30 days of follow-up,and emergency admission were GRACE score.TIMI score could predict other adverse cardiovascular events,emergency PCI,and emergency admission(P<0.05),and GRACE score could predict other adverse cardiovascular events,death within 30 days of follow-up,emergency PCI,and emergency admission(P<0.05).Conclusion Compared with TIMI score,GRACE score is better indicator of risk stratification in patients with acute chest pain,which can effectively determine other adverse cardiovascular events,emergency PCI,emergency admission,death within 30 days of follow up and other adverse prognostic risks in patients with acute chest pain,as well as better predict major adverse cardiovascular events.