Prognosis versus Diagnosis and Test Accuracy versus Risk Estimation: Exploring the Clinical Application of the HEART Score

Abstract

In this issue, Fernando et al present a systematic review and meta‐analysis assessing the prognostic accuracy of the HEART score for prediction of major adverse cardiac events (MACE) in adult patients presenting with chest pain at the emergency department (ED).¹ The authors conclude that the HEART score has excellent performance for prediction of MACE (particularly mortality and myocardial infarction) in chest pain patients and should be the primary clinical decision instrument used for risk‐stratification of this patient population.

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