GÖĞÜS AĞRISI İLE ACİL SERVİSE BAŞVURAN HASTALARDA SVEAT VE HEART SKORLARININ BİR AYLIK MAJÖR KARDİYAK OLAYLARI ÖNGÖRMEDEKİ ETKİNLİĞİNİN KARŞILAŞTIRILMASI

Objective: Chest pain can be seen in a wide spectrum from life-threatening diseases to less risky conditions. In emergency departments, it is as important to identify and treat patients at high risk for ACS as it is to identify and discharge low-risk patients with fewer investigations and in a shorter time. This approach both relieves the burden on emergency departments and simplifies emergency department management by reducing unnecessary healthcare costs. Various scoring systems have been developed for risk classification of chest pain. There is a new scoring system called SVEAT that has been published in recent years. In our study, we aimed to compare the efficacy of the SVEAT score and the HEART score in terms of their success in predicting major adverse cardiac events (MACE) in patients.

Methods: Our study is a prospective observational diagnostic-validity study. Patients aged 18 years and older with a non-traumatic troponin test blood sample and no

ST elevation detected on ECG constitute the population of this study. Between 15.01.2024 and 15.07.2024, patients presenting to the emergency department of Kutahya Health Sciences University Evliya Çelebi Training and Research Hospital with chest pain who were presumed to have an underlying cardiac disease were included, and monitored in the ER observation area. Patients were examined by on-call physicians actively supervised by emergency medicine specialists and followed up according to AHA/ESC ACS guidelines. The hospital information system, e-Nabız (T.C. Ministry of Health) system, or telephone were used to inquire about significant adverse cardiac events, which were the primary outcome, on the 30th day following the patients enrollment in the study, without knowledge of their SVEAT scores.