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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180
Diagnostic routine and hospitalization criteria
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