The initial screening should be based on clinical history, physical examination, 12-lead ECG in up to 10 min, and troponin level. |
I |
A |
HEART scores should be used to stratify risk and assist in hospital discharge decisions. |
I |
B |
Patients with HEART scores ≤3 associated with negative troponin results, ECG without ischemic change, and no history of coronary artery disease (CAD) can be released from the emergency department for outpatient reassessment. |
I |
B |
Hospital screening can be performed by qualified nurses for early recognition of high-risk patients. |
IIa |
B |
EDACS and ADAPT scores for clinical risk stratification can be used as alternatives to the HEART score. |
IIa |
B |
The HEART score can be used to determine early release for patients treated in an ambulance. |
IIb |
C |