Chest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study

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dc.authoridSamsa, Murat/0000-0001-6396-2977
dc.authoridTURGAY YILDIRIM, OZGE/0000-0002-6731-4958
dc.authoridAksit, Ercan/0000-0002-4478-4324
dc.authoridAYDIN, Fatih/0000-0002-1017-1917
dc.contributor.authorAydin, Fatih
dc.contributor.authorAksit, Ercan
dc.contributor.authorYildirim, Ozge Turgay
dc.contributor.authorAydin, Ayse Huseyinoglu
dc.contributor.authorDagtekin, Evrin
dc.contributor.authorSamsa, Murat
dc.date.accessioned2025-01-27T20:11:54Z
dc.date.available2025-01-27T20:11:54Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBACKGROUND: The chest pain classifications that are currently in use are based on studies that are several decades old. Various studies have indicated that these classifications are not sufficient for determining the origin of chest pain without additional diagnostic tests or tools. We describe a new chest pain scoring system that examines the relationship between chest pain and ischemic heart disease (IHD). DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level university hospital and two public hospitals. METHODS: Chest pain scores were assigned to 484 patients. These patients then underwent a treadmill stress test, followed by myocardial perfusion scintigraphy if necessary. Coronary angiography was then carried out on the patients whose tests had been interpreted as positive for ischemia. Afterwards, the relationship between myocardial ischemia and the test score results was investigated. RESULTS: The median chest pain score was 2 (range: 0-7) among the patients without IHD and 6 (1-8) among those with IHD. The median score of patients with IHD was significantly higher than that of patients without IHD (P = 0.001). Receiver operating characteristic analysis showed that the score had sensitivity of 97% and specificity of 87.5% for detecting IHD. CONCLUSION: We developed a pre-test chest pain score that uses a digital scoring system to assess whether or not the pain was caused by IHD. This scoring system can be applied easily and swiftly by healthcare professionals and can prevent the confusion that is caused by other classification and scoring systems.
dc.identifier.doi10.1590/1516-3180.2018.0238101218
dc.identifier.endpage59
dc.identifier.issn1516-3180
dc.identifier.issue1
dc.identifier.pmid31116271
dc.identifier.scopus2-s2.0-85066499648
dc.identifier.scopusqualityQ2
dc.identifier.startpage54
dc.identifier.urihttps://doi.org/10.1590/1516-3180.2018.0238101218
dc.identifier.urihttps://hdl.handle.net/20.500.12428/20773
dc.identifier.volume137
dc.identifier.wosWOS:000468789100009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAssociacao Paulista Medicina
dc.relation.ispartofSao Paulo Medical Journal
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectChest pain
dc.subjectAngina pectoris
dc.subjectMyocardial ischemia
dc.titleChest pain score: a novel and practical approach to angina pectoris. A diagnostic accuracy study
dc.typeArticle

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