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. Author manuscript; available in PMC: 2019 Nov 27.
Published in final edited form as: Circulation. 2018 Nov 27;138(22):2456–2468. doi: 10.1161/CIRCULATIONAHA.118.036528

Table 3.

Summary of death and MI events among patients classified as low-risk by the HEART Pathway.

Age Sex Race* Comorbidities Site HEAR score 0 hr cTnI ng/ml 3 hr cTnI
ng/ml
Index Visit ED Disposition Index Cardiac Testing Event
41 Female W Hypertension Hyperlipidemia Diabetes Obesity Family history of early ACS DMC 3 0.035 0.040 Transfer to WFBMC for admission Coronary angiography; multivessel disease >70% stenosis Index visit NSTEMI; troponin peak at 0.045 ng/ml. 3-vessel CABG during follow-up period
76 Female AA Hypertension, autoimmune hepatitis WFBMC 3 0.007 <0.006 Discharged None Death on day 28; admitted to outside hospital for acute encephalopathy
57  Female AA Metastatic uterine cancer, DVT on Lovenox WFBMC 3 0.011 0.033 Admitted to ICU, intubated for respiratory failure None Death during index hospitalization; care withdrawn
73  Male W COPD WFBMC 2 <0.006 <0.006 Discharged None Death on day 6; Returned to ED with altered mental status from large subarachnoid hemorrhage
50  Male AA Hypertension, Tobacco, Cocaine abuse WFBMC 3 0.007 0.017 Discharged None STEMI on day 12; Returned to ED with chest pain, ECG consistent with STEMI, coronary angiography with diffuse mild non-obstructive coronary artery disease (maximum stenosis = 25%)
43  Male W None WFBMC 0 <0.006 <0.006 Admitted for hypoxemia and wheezing None Death during index visit, respiratory failure and PEA arrest
*

Race; W=White, AA= African American,

cTnI at WFBMC and DMC has upper reference limit and 99th percentile value of 0.040 ng/ml and <10% coefficient of variation at 0.040 ng/ml. cTnI=cardiac troponin I, NSTEMI= non-ST segment elevation myocardial infarction, CABG= coronary artery bypass graft, DVT= deep vein thrombosis, ICU= intensive care unit, STEMI= ST segment elevation myocardial infarction, PEA= pulseless electrical activity.