ToolsCalculators
ADAPT protocol for cardiac event risk
Accelerated rule-out of 30-day major cardiac events in chest pain.
ADAPT protocol for cardiac event risk
TIMI risk score
Use 0 for the accelerated pathway; any TIMI >0 makes the protocol non-low-risk.
points
New ischemic changes on ECG
Abnormal troponin at 0 hours
Abnormal troponin at 2 hours
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When to use
- Identifying low-risk chest-pain patients for accelerated ED discharge using 0- and 2-hour troponins.
Formula
Low risk requires ALL of: TIMI score 0, no new ischemic ECG changes, and normal troponin at 0 and 2 hours.
Pearls and pitfalls
- Designed for a contemporary/sensitive troponin assay; a TIMI score of 1 is not sufficient for the standard ADAPT pathway.