<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402018000500333</article-id>
<article-id pub-id-type="doi">10.1016/j.acmx.2017.06.008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estratificación del dolor torácico con el score HEART modificado y su relación con eventos adversos cardiovasculares a corto plazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Stratification of thoracic pain with modified HEART score and its relationship to short term cardiovascular events]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chacón-Diaz]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Doig]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Delgado  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>88</volume>
<numero>5</numero>
<fpage>333</fpage>
<lpage>338</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402018000500333&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402018000500333&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402018000500333&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  El dolor torácico es un importante motivo de atención en salas de urgencia a nivel mundial. Se evaluó la relación entre el score HEART modificado y la presencia de eventos cardiacos mayores a los 30 días.  Métodos: Estudio retrospectivo, observacional en un solo centro hospitalario. En pacientes mayores de 18 años atendidos en urgencias por dolor torácico, en los cuales se aplicó el score HEART modificado al ingreso y se relacionó con la presencia de eventos cardiacos mayores (infarto de miocardio, muerte, re hospitalización por causa cardiaca y revascularización coronaria percutánea o quirúrgica) a los 30 días de seguimiento.  Resultados:  De 158 pacientes analizados, 17 eventos adversos (10.8%) se encontraron al mes de seguimiento. El score HEART modificado pudo predecir eventos adversos en el 4; 21,4 y 100% de pacientes con scores 0-3, 4-6 y 7-10 respectivamente (p = 0.0001). Un score HEART modificado mayor o igual a 4 se relacionó con más eventos adversos (OR: 4.52; IC: 2.76-7.39) con una sensibilidad del 70% y una especificidad del 84%.  Conclusiones:  La aplicación del score HEART modificado estratifica a los pacientes con dolor torácico en urgencias de manera adecuada en bajo, moderado y alto riesgo de complicaciones cardiovasculares, lo cual permite que las unidades de urgencia mejoren sus protocolos de triaje y diagnóstico de los síndromes coronarios agudos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  Chest pain is a major reason for emergency room care worldwide. The relationship between the Modified Heart Score and the presence of major cardiac events at 30 days after emergency admission was evaluated.  Methods:  Retrospective, observational study in a single centre on patients older than 18 years, who were treated for chest pain. The Modified HEART Score was applied at admission and related to the presence of major cardiac events (myocardial infarction, death, hospital re-admission due to cardiac causes, and percutaneous or surgical coronary revascularisation) at 30 days of follow-up.  Results:  Of 158 patients analysed, 17 (10.8%) adverse events were found at follow-up. The modified HEART score could predict adverse events in 4%; 21.4%, and 100% of patients with scores 0-3; 4-6, and 7-10, respectively (P = .0001). A modified HEART score greater than or equal to 4 was associated with more adverse events (OR: 4.52; 95% CI 2.76-7.39) with a sensitivity of 70% and specificity of 84%.  Conclusions:  The application of the modified HEART score is useful for stratifying patients with chest pain into low, moderate, and high risk of cardiovascular complications, which should help the emergency units to improve their protocols for triage and diagnosis of acute coronary syndromes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor torácico]]></kwd>
<kwd lng="es"><![CDATA[Score HEART modificado]]></kwd>
<kwd lng="es"><![CDATA[Eventos adversos]]></kwd>
<kwd lng="es"><![CDATA[Perú.]]></kwd>
<kwd lng="en"><![CDATA[Chest pain]]></kwd>
<kwd lng="en"><![CDATA[Modified HEART Score]]></kwd>
<kwd lng="en"><![CDATA[Adverse events]]></kwd>
<kwd lng="en"><![CDATA[Peru.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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