{"id":3990,"date":"2026-10-14T21:41:01","date_gmt":"2026-10-14T20:41:01","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/heart-skoru-hesaplama\/"},"modified":"2026-10-14T21:41:01","modified_gmt":"2026-10-14T20:41:01","slug":"heart-skoru-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/heart-skoru-hesaplama\/","title":{"rendered":"HEART Skoru Hesaplama"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">G\u00f6\u011f\u00fcs A\u011fr\u0131s\u0131 Olan Hastada Risk Tahmini<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3990\" data-favorite-title=\"HEART Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/heart-skoru-hesaplama\/\" data-favorite-excerpt=\"G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olan bir hastada 6 hafta i\u00e7inde maj\u00f6r advers kardiyak olay riskini tahmin edin. \u00d6yk\u00fc, EKG, ya\u015f, risk fakt\u00f6rleri ve troponin bilgilerini girerek HEART skorunu ve risk kategorisini \u00f6\u011frenin.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-heartbeat\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/heart-skoru-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3990\" data-post=\"3990\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field\" id=\"input-1\"><label for=\"field-1\">\u00d6yk\u00fc<\/label><div class=\"grid grid-cols-1\"><select id=\"field-1\" name=\"yk\"><option value=\"Slightly or non-suspicious for ACS\">AKS a\u00e7\u0131s\u0131ndan hafif \u015f\u00fcpheli veya \u015f\u00fcpheli de\u011fil<\/option><option value=\"Moderately suspicious for ACS\">AKS a\u00e7\u0131s\u0131ndan orta d\u00fczeyde \u015f\u00fcpheli<\/option><option value=\"Highly suspicious for ACS\">AKS a\u00e7\u0131s\u0131ndan y\u00fcksek d\u00fczeyde \u015f\u00fcpheli<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field\" id=\"input-2\"><label for=\"field-2\">EKG<\/label><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"ekg\"><option value=\"Normal\">Normal<\/option><option value=\"Non-specific repolarisation changes\">Spesifik olmayan repolarizasyon de\u011fi\u015fiklikleri<\/option><option value=\"Significant ST deviation\">Belirgin ST sapmas\u0131<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-3\">Ya\u015f<\/label><div class=\"term\">A<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"ya\" id=\"field-3\" aria-describedby=\"calc-unit-3 calc-info-3\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"18\" max=\"120\" value=\"62\"\/><div class=\"unit\" id=\"calc-unit-3\">y\u0131l<\/div><small id=\"calc-info-3\">A \u2014 hasta ya\u015f\u0131 aral\u0131klara g\u00f6re puanlan\u0131r: &lt; 45, 45\u201364, \u2265 65<\/small><\/div><div class=\"field\" id=\"input-4\"><label for=\"field-4\">Risk fakt\u00f6rleri<\/label><div class=\"grid grid-cols-1\"><select id=\"field-4\" name=\"risk_faktrleri\"><option value=\"No risk factors\">Risk fakt\u00f6r\u00fc yok<\/option><option value=\"1\u20132 risk factors\">1\u20132 risk fakt\u00f6r\u00fc<\/option><option value=\"\u2265 3 risk factors or known atherosclerotic disease\">\u2265 3 risk fakt\u00f6r\u00fc veya bilinen aterosklerotik hastal\u0131k<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field\" id=\"input-5\"><label for=\"field-5\">Troponin<\/label><div class=\"grid grid-cols-1\"><select id=\"field-5\" name=\"troponin\"><option value=\"\u2264 normal limit\">\u2264 normal s\u0131n\u0131r<\/option><option value=\"1\u20133\u00d7 normal limit\">1\u20133\u00d7 normal s\u0131n\u0131r<\/option><option value=\"&gt; 3\u00d7 normal limit\">&gt; 3\u00d7 normal s\u0131n\u0131r<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3990\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> HEART Skoru Sonucu<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>HEART skoru (0\u201310):<\/span><span class=\"result-term\">skor<\/span><\/span><span class=\"field-value\" id=\"result-1\" data-unit=\"puan\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-2\"><span class=\"field-title\"><span>Risk kategorisi:<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>6 haftal\u0131k MACE oran\u0131:<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3990\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>HEART Skoru Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{HEART} = H + E + A + R + T \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(H\\) \u2014 \u00d6yk\u00fc (History): g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u00f6yk\u00fcs\u00fcn\u00fcn akut koroner sendrom a\u00e7\u0131s\u0131ndan ne kadar \u015f\u00fcpheli oldu\u011fu (0\u20132 puan)<\/li>\n<li>\\(E\\) \u2014 EKG: tetkikler s\u0131ras\u0131nda saptanan en anormal EKG bulgusu (0\u20132 puan)<\/li>\n<li>\\(A\\) \u2014 Ya\u015f: 45 ya\u015f alt\u0131nda 0 puan, 45\u201364 ya\u015f aras\u0131nda 1 puan, 65 ya\u015f ve \u00fczerinde 2 puan<\/li>\n<li>\\(R\\) \u2014 Risk fakt\u00f6rleri: kardiyovask\u00fcler risk fakt\u00f6rlerinin say\u0131s\u0131 ya da bilinen aterosklerotik hastal\u0131k (0\u20132 puan)<\/li>\n<li>\\(T\\) \u2014 Troponin: d\u00fczeyin kullan\u0131lan testin \u00fcst referans s\u0131n\u0131r\u0131na g\u00f6re durumu (0\u20132 puan)<\/li>\n<\/ul>\n<p>Be\u015f bile\u015fenin her biri 0, 1 veya 2 puan verir; dolay\u0131s\u0131yla toplam HEART skoru 0 ile 10 aras\u0131nda de\u011fi\u015fir. Toplam puan y\u00fckseldik\u00e7e hastan\u0131n 6 hafta i\u00e7inde maj\u00f6r advers kardiyak olay (MACE) ge\u00e7irme olas\u0131l\u0131\u011f\u0131 da artar.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>HEART Skoru \u2013 \u00d6rnek Hesaplama<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 62 ya\u015f\u0131nda bir hasta, AKS a\u00e7\u0131s\u0131ndan orta derecede \u015f\u00fcpheli g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131yla acil servise ba\u015fvuruyor. EKG'de nonspesifik repolarizasyon de\u011fi\u015fiklikleri var, hastada 1\u20132 kardiyovask\u00fcler risk fakt\u00f6r\u00fc bulunuyor ve troponin normal s\u0131n\u0131r\u0131n i\u00e7inde.<\/p>\n<p>\\[ \\text{HEART} = \\underbrace{1}_{H} + \\underbrace{1}_{E} + \\underbrace{1}_{A} + \\underbrace{1}_{R} + \\underbrace{0}_{T} = 4 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> HEART skoru = 4 puan \u2014 orta risk. Bu aral\u0131ktaki hastalar\u0131n yakla\u015f\u0131k %16,6's\u0131 6 hafta i\u00e7inde maj\u00f6r advers kardiyak olay ya\u015f\u0131yor; bu nedenle g\u00f6zlem amac\u0131yla yat\u0131\u015f ve ileri tetkikler uygundur.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplay\u0131c\u0131 Nas\u0131l Kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>\u00d6yk\u00fc<\/strong> a\u00e7\u0131l\u0131r listesinde, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u00f6yk\u00fcs\u00fcn\u00fcn akut koroner sendrom (AKS) a\u00e7\u0131s\u0131ndan ne derece \u015f\u00fcpheli oldu\u011funu se\u00e7in: hafif \u015f\u00fcpheli ya da \u015f\u00fcphesiz, orta derecede \u015f\u00fcpheli veya y\u00fcksek derecede \u015f\u00fcpheli.<\/li>\n<li><strong>EKG<\/strong> a\u00e7\u0131l\u0131r listesinde, tetkikler s\u0131ras\u0131nda kaydedilen en anormal EKG bulgusunu se\u00e7in: normal, nonspesifik repolarizasyon de\u011fi\u015fiklikleri veya belirgin ST sapmas\u0131.<\/li>\n<li>Hastan\u0131n <strong>ya\u015f\u0131n\u0131<\/strong> y\u0131l cinsinden girin (18\u2013120). Hesaplay\u0131c\u0131, ya\u015f\u0131 otomatik olarak 0, 1 veya 2 puanl\u0131k ya\u015f aral\u0131\u011f\u0131na \u00e7evirir.<\/li>\n<li><strong>Risk fakt\u00f6rleri<\/strong> a\u00e7\u0131l\u0131r listesinde, hastan\u0131n risk fakt\u00f6r\u00fc olmad\u0131\u011f\u0131n\u0131, 1\u20132 risk fakt\u00f6r\u00fc oldu\u011funu ya da en az 3 risk fakt\u00f6r\u00fc veya bilinen aterosklerotik hastal\u0131k durumunu belirtin.<\/li>\n<li><strong>Troponin<\/strong> a\u00e7\u0131l\u0131r listesinde, troponin d\u00fczeyinin testin \u00fcst referans s\u0131n\u0131r\u0131yla kar\u015f\u0131la\u015ft\u0131rmas\u0131n\u0131 se\u00e7in: s\u0131n\u0131rda ya da alt\u0131nda, s\u0131n\u0131r\u0131n 1\u20133 kat\u0131 veya s\u0131n\u0131r\u0131n 3 kat\u0131ndan fazla.<\/li>\n<li>Sonu\u00e7lar\u0131 okuyun: toplam <strong>HEART skoru (0\u201310)<\/strong>, yakla\u015f\u0131m \u00f6nerisiyle birlikte <strong>risk kategorisi<\/strong> ve beklenen <strong>6. haftadaki MACE oran\u0131<\/strong>.<\/li>\n<\/ol>\n<h2>HEART Skoru Nedir?<\/h2>\n<p>HEART skoru, acil servise ay\u0131rt edilmemi\u015f g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131yla ba\u015fvuran hastalar i\u00e7in kullan\u0131lan yatak ba\u015f\u0131 risk s\u0131n\u0131fland\u0131rma arac\u0131d\u0131r. 2008'de Six ve \u00e7al\u0131\u015fma arkada\u015flar\u0131 taraf\u0131ndan tan\u0131t\u0131lm\u0131\u015f, 2013'te Backus ve arkada\u015flar\u0131n\u0131n geni\u015f kat\u0131l\u0131ml\u0131 \u00e7ok uluslu \u00e7al\u0131\u015fmas\u0131yla do\u011frulanm\u0131\u015ft\u0131r. K\u0131saltman\u0131n harfleri be\u015f bile\u015feni temsil eder: <strong>H<\/strong>istory (\u00f6yk\u00fc), <strong>E<\/strong>CG (EKG), <strong>A<\/strong>ge (ya\u015f), <strong>R<\/strong>isk factors (risk fakt\u00f6rleri) ve <strong>T<\/strong>roponin.<\/p>\n<p>Skor, ba\u015fvurudan sonraki 6 hafta i\u00e7inde bir <em>maj\u00f6r advers kardiyak olay<\/em> \u2014 \u00f6l\u00fcm, \u00f6l\u00fcmc\u00fcl olmayan miyokart enfarkt\u00fcs\u00fc ya da acil revask\u00fclarizasyon \u2014 olas\u0131l\u0131\u011f\u0131n\u0131 \u00f6ng\u00f6r\u00fcr. Bu da onu pratik bir triyaj arac\u0131 yapar; \u00e7\u00fcnk\u00fc g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na ba\u011fl\u0131 ciddi komplikasyonlar\u0131n \u00e7o\u011fu tam bu s\u00fcre i\u00e7inde ortaya \u00e7\u0131kar.<\/p>\n<p>Sonu\u00e7 \u00fc\u00e7 aral\u0131kta yorumlan\u0131r:<\/p>\n<ul>\n<li><strong>0\u20133 puan (d\u00fc\u015f\u00fck risk):<\/strong> hastalar\u0131n yakla\u015f\u0131k %1,7'sinde MACE g\u00f6r\u00fcl\u00fcr. Yerel protokole ba\u011fl\u0131 olarak, k\u0131sa bir de\u011ferlendirmenin ard\u0131ndan erken taburculuk d\u00fc\u015f\u00fcn\u00fclebilir.<\/li>\n<li><strong>4\u20136 puan (orta risk):<\/strong> yakla\u015f\u0131k %16,6's\u0131nda MACE g\u00f6r\u00fcl\u00fcr. G\u00f6zlem amac\u0131yla yat\u0131\u015f, seri troponin \u00f6l\u00e7\u00fcmleri, tekrarlanan EKG'ler ve ileri g\u00f6r\u00fcnt\u00fcleme \u00f6nerilir.<\/li>\n<li><strong>7\u201310 puan (y\u00fcksek risk):<\/strong> yakla\u015f\u0131k %50,1'inde MACE g\u00f6r\u00fcl\u00fcr. Erken invaziv yakla\u015f\u0131m ve akut koroner sendromun agresif tedavisi d\u00fc\u015f\u00fcn\u00fclmelidir.<\/li>\n<\/ul>\n<p>HEART skoru klinik de\u011ferlendirmeyi (\u00f6yk\u00fc) objektif verilerle (EKG, ya\u015f, troponin) birle\u015ftirdi\u011fi i\u00e7in, asl\u0131nda ba\u015fka hasta gruplar\u0131 i\u00e7in tasarlanm\u0131\u015f TIMI veya GRACE gibi skorlardan acil servis ortam\u0131nda genellikle daha iyi ayr\u0131m yapar. En \u00f6nemli klinik de\u011feri, gereksiz yat\u0131\u015f ve tetkiklere gerek kalmadan g\u00fcvenle taburcu edilebilecek geni\u015f d\u00fc\u015f\u00fck riskli g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 grubunu tan\u0131mlamas\u0131d\u0131r.<\/p>\n<h2>HEART Skoru Referans Tablosu<\/h2>\n<table>\n<thead>\n<tr>\n<th>Bile\u015fen<\/th>\n<th>0 puan<\/th>\n<th>1 puan<\/th>\n<th>2 puan<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u00d6yk\u00fc<\/td>\n<td>AKS a\u00e7\u0131s\u0131ndan hafif \u015f\u00fcpheli ya da \u015f\u00fcphesiz<\/td>\n<td>AKS a\u00e7\u0131s\u0131ndan orta derecede \u015f\u00fcpheli<\/td>\n<td>AKS a\u00e7\u0131s\u0131ndan y\u00fcksek derecede \u015f\u00fcpheli<\/td>\n<\/tr>\n<tr>\n<td>EKG<\/td>\n<td>Normal<\/td>\n<td>Nonspesifik repolarizasyon de\u011fi\u015fiklikleri<\/td>\n<td>Belirgin ST sapmas\u0131<\/td>\n<\/tr>\n<tr>\n<td>Ya\u015f<\/td>\n<td>&lt; 45 ya\u015f<\/td>\n<td>45\u201364 ya\u015f<\/td>\n<td>\u2265 65 ya\u015f<\/td>\n<\/tr>\n<tr>\n<td>Risk fakt\u00f6rleri<\/td>\n<td>Risk fakt\u00f6r\u00fc yok<\/td>\n<td>1\u20132 risk fakt\u00f6r\u00fc<\/td>\n<td>\u2265 3 risk fakt\u00f6r\u00fc veya bilinen aterosklerotik hastal\u0131k<\/td>\n<\/tr>\n<tr>\n<td>Troponin<\/td>\n<td>\u2264 normal s\u0131n\u0131r<\/td>\n<td>Normal s\u0131n\u0131r\u0131n 1\u20133 kat\u0131<\/td>\n<td>&gt; normal s\u0131n\u0131r\u0131n 3 kat\u0131<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Varsay\u0131mlar, S\u0131n\u0131rl\u0131l\u0131klar ve Pratik \u00d6neriler<\/h2>\n<ul>\n<li>HEART skoru bir <strong>karar destek arac\u0131d\u0131r<\/strong>, tan\u0131sal test de\u011fil. Olas\u0131l\u0131k tahmini yapar; klinik de\u011ferlendirmenin, yerel protokollerin ve hekimin g\u00f6r\u00fc\u015f\u00fcn\u00fcn yerini asla almaz.<\/li>\n<li>Her zaman eldeki <strong>en anormal<\/strong> de\u011ferleri puanlay\u0131n: sadece ba\u015flang\u0131\u00e7taki de\u011ferler de\u011fil, tetkikler s\u0131ras\u0131nda g\u00f6r\u00fclen en k\u00f6t\u00fc EKG ve \u00f6l\u00e7\u00fclen en y\u00fcksek troponin esas al\u0131nmal\u0131d\u0131r.<\/li>\n<li>Troponin, <strong>kullan\u0131lan testin referans s\u0131n\u0131r\u0131na g\u00f6re<\/strong> puanlan\u0131r. Y\u00fcksek duyarl\u0131kl\u0131 troponin testlerinde laboratuvar\u0131n\u0131z\u0131n e\u015fik de\u011ferlerini ve varsa dinamik de\u011fi\u015fim kriterlerini izleyin.<\/li>\n<li>Skor, acil servisteki <strong>ay\u0131rt edilmemi\u015f g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131<\/strong> i\u00e7in do\u011frulanm\u0131\u015ft\u0131r. Daha \u00f6nceden AKS tan\u0131s\u0131 konmu\u015f hastalara, ST y\u00fckselmeli miyokart enfarkt\u00fcs\u00fcne, hemodinamik dengesizli\u011fe ya da a\u00e7\u0131k\u00e7a kardiyak olmayan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na uygulanmaz ve 18 ya\u015f alt\u0131nda do\u011frulanmam\u0131\u015ft\u0131r.<\/li>\n<li>Verilen MACE oranlar\u0131 do\u011frulama \u00e7al\u0131\u015fmalar\u0131ndan gelen <strong>pop\u00fclasyon ortalamalar\u0131d\u0131r<\/strong>; bireysel hastan\u0131n riski, skorun kapsamad\u0131\u011f\u0131 fakt\u00f6rlere de ba\u011fl\u0131d\u0131r.<\/li>\n<li>Taburculuk kararlar\u0131nda skoru, h\u0131zland\u0131r\u0131lm\u0131\u015f g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 algoritmalar\u0131n\u0131n \u00e7o\u011funun gerektirdi\u011fi gibi, negatif tekrar troponin de\u011feri ve bir s\u00fcre g\u00f6zlemle birlikte kullan\u0131n.<\/li>\n<\/ul>\n<p>Sitemizdeki di\u011fer h\u0131zl\u0131 yatak ba\u015f\u0131 skorlar\u0131 aras\u0131nda \u015f\u00fcpheli enfeksiyon i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/qsofa-skor-hesaplayici\/\">qSOFA skoru<\/a>, pn\u00f6moni \u015fiddeti i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/\">CURB-65 skoru<\/a> ve atriyal fibrilasyonda kanama riski i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/has-bled-skoru-hesaplama\/\">HAS-BLED skoru<\/a> yer al\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 olan bir hastada 6 hafta i\u00e7inde maj\u00f6r advers kardiyak olay riskini tahmin edin. \u00d6yk\u00fc, EKG, ya\u015f, risk fakt\u00f6rleri ve troponin bilgilerini girerek HEART skorunu ve risk kategorisini \u00f6\u011frenin.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[26],"class_list":["post-3990","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-kardiyoloji"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3990","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3990"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3990\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}