ABC | Volume 114, Nº5, May 2020

Short Editorial Soares Comparison of HEART, TIMI and GRACE Scores Arq Bras Cardiol. 2020; 114(5):803-804 Table 1 – Comparison of variables and predictions of outcomes of the TIMI, GRACE and HEART scores Risk Scores TIMI GRACE HEART Age Age Age ST deviation ST deviation ECG: ST deviation — nonspecific disorder, repolarization or LBBB — normal + markers + markers Troponin 3 ×, 1 to 3 ×, normal Risk factors < 3 or > 3 RF > 3 or atherosclerosis, 1 or 2 RF, without RF Chest pain in 24 hours Clinical history Heart rate Systolic blood pressure Killip Coronary stenosis >50% Acetylsalicylic acid: 7 days Creatinine Cardiac arrest Prediction of Outcomes TIMI GRACE HEART 14-day prediction: death, reinfarction, emergency coronary artery bypass grafting Prediction of mortality at admission and for 1 year Prediction for 6 weeks of death, surgical or percutaneous coronary artery bypass grafting and AMI ECG: electrocardiography; LBBB: left bundle branch block; RF: risk factor; AMI: acute myocardial infarction. 1. World Health Organization. (WHO). Global Health Estimates 2016: Disease burdenbyCause,Age,Sex,byCountryandbyRegion,2000-2016.Geneva;2018. 2. Nowbar AN, Gitto M, Howard JP, Howard JP, Francis DP, Al-Lamee R, et al. Mortality From Ischemic Heart DiseaseAnalysis of Data From the World Health Organization and Coronary Artery Disease Risk Factors From NCD Risk Factor Collaboration. Circ CardiovascQual Out. 2019;12(6):e005375. 3. Torralba F, Navarro A, de La Hoz JC, Ortiz C, Botero A, Alarcon F, et al. Heart,TIMI, GRACE scores for prediction of 30 day major adverse cardiovascular events in the era of high-sensitivity troponin. ArqBras Cardiol. 2020 [online]. Ahead print]. PP.0-0 4. Arroyo-Quiroz C, Barrientos-Gutierrez T, O’Flaherty M,Guzzma-castillo M, Palacios-Mejia E, Osório-Saldarriaga E, et al. Coronary heart disease mortality is decreasing in Argentina, and Colombia, but keeps increasing in Mexico: a time trend study. BMC Public Health. 2020; 20:162 5. Antman EM, Cohen M, Bernink PJ,Horacek KT, Papuches G,Mccabe CH, et al. The TIMI risk score for unstable angina/non-ST elevation MI: Amethod for prognosticationandtherapeuticdecisionmaking.JAMA.2000;284(7):835-42. 6. Granger CB, Goldberg RJ, Dabbous O,Pieper KS, Eagle KA, Cannon CP, et al. Global Registry of Acute Coronary Events Investigators Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med. 2003; 163(19):2345-53. 7. Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):759-64. 8. Sakamoto JT, Liu N, Koh ZX, Koh ZX, Fung NX, Heldeweg ML et al. Comparing HEART, TIMI, andGRACE scores for prediction of 30-daymajor adverse cardiac events in high acuity chest pain patients in the emergency department. Int J Cardiol. 2016 15 Oct; 221:759-64. 9. Aarts GWA,Camaro C, Van Geuns RJ, Cramer E, van Kimme RRJ. Acute rule-out of non-ST-segment elevation acute coronary syndrome in the (pre)hospital setting by HEART score assessment and a single point-of- care troponin: rationale and design of the ARTICA randomised trial. BMJ Open. 2020;10(2):034403. 10. Shin YS. Risk stratification of patients with chest pain or anginal equivalents in the emergency department. Intern Emerg Med. 2020;15(2):319-6. References This is an open-access article distributed under the terms of the Creative Commons Attribution License 804