Table 4

Performance characteristics of the HEART Pathway vs EDACS for 30-day MACE

Risk stratification strategy30-day MACETotal (n)
Yes (n, %*)No (n, %*)
EDACS non-low risk423 (23.0%)1420 (77.0%)1843
EDACS low risk26 (1.0%)2530 (99.0%)2556
Total (n)44939504399
HEART non-low risk442 (16.3%)2266 (83.7%)2708
HEART low risk7 (0.4%)1684 (99.6%)1691
Total (n)44939504399
Risk stratification strategy% low risk
(95% CI)
Sensitivity
(95% CI)
Specificity
(95% CI)
PPV
(95% CI)
NPV
(95% CI)
EDACS58.1%
(56.6 to 59.6)
94.2%
(91.6 to 96.2)
64.1%
(62.5 to 65.5)
23.0%
(21.0 to 24.9)
99.0%
(98.5 to 99.3)
HEART38.4%
(37.0 to 39.9)
98.4%
(96.8 to 99.4)
42.6%
(41.1 to 44.2)
16.3%
(14.9 to 17.8)
99.6%
(99.1 to 99.8)
  • *Per cents reported are row per cents.

  • EDACS, Emergency Department Assessment of Chest pain Score; HEART, History Electrocardiogram Age Risk factor Troponin; MACE, major adverse cardiac events; NPV, negative predictive value; PPV, positive predictive value.