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ACSD (Acute Coronary Syndrome Diagnostic) Score of Boubaker et al.

Description

Boubaker et al reported the Acute Coronary Syndrome Diagnostic (ACSD) Score for patients with a non-diagnostic ECG and normal serum troponin concentrations. The authors are from Fattouma Bourguiba University Hospital, University of Monastir, and Moknine Hospital in Tunisia.


Patient selection: acute chest pain, non-diagnostic ECG, normal serum troponin concentration

 

Parameters:

(1) Geleijnse score (06.06.24): from -4 to 20

(2) TIMI Risk Score (06.06.12): from 0 to 7

 

ACSD score =

= (points for the Geleijnse score) + (points for the TIMI risk score)

 

Interpretation:

• minimum score: -4

• maximum score: 27

• The higher the score the greater the risk of an acute coronary syndrome.

• The authors state that the best cutoff is 9, but usage indicates that risk was associated with a score >= 10.

 

Total Score

Risk Group

Likelihood Ratio (+)

-4 to 4

I

1

5 to 9

II

1.2

10 to 27

III

3.3

 

Performance:

• The area under the ROC curve was 0.85 vs 0.74 for the TIMI and 0.79 for the Geleijnse.


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