Letter to the Editor
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Apr 26, 2023; 15(4): 200-204
Published online Apr 26, 2023. doi: 10.4330/wjc.v15.i4.200
New scoring system for acute chest pain risk stratification: Is it worth SVEAT-ing it?
Mahati Dasari, Pramukh Arun Kumar, Yuvaraj Singh, Eddison Ramsaran
Mahati Dasari, Pramukh Arun Kumar, Yuvaraj Singh, Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States
Eddison Ramsaran, Department of Cardiology, Saint Vincent Hospital, Worcester, MA 01608, United States
Author contributions: Dasari M conceptualized the idea and designed the research; Dasari M and Arun Kumar P wrote initial draft of manuscript; Singh Y and Ramsaran E proof-read and suggested changes in manuscript, Singh Y checked for scientific accuracy, plagiarism and table creation; Dasari M, Arun Kumar P, Singh Y, Ramsaran E made further edits and reviewed the final version of the manuscript.
Conflict-of-interest statement: All the authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuvaraj Singh, MD, Chief Medical Resident, Staff Physician, Department of Internal Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, United States. yuvarajmle@gmail.com
Received: January 22, 2023
Peer-review started: January 22, 2023
First decision: March 15, 2023
Revised: March 28, 2023
Accepted: April 10, 2023
Article in press: April 10, 2023
Published online: April 26, 2023
Processing time: 88 Days and 5 Hours
Core Tip

Core Tip: Despite several studies, scoring systems, and artificial intelligence -guided tools available to triage symptoms of chest pain, physicians are often struck with the dilemma before discharging patients from the endoplasmic reticulum. The reason is that chest pain etiologies such as acute coronary syndromes (ACS) can present atypically and, when misdiagnosed, can lead to catastrophic consequences. Tools such as the HEART score and recently published SVEAT score are robustly validated methods of triaging this conundrum. However, while we delineate how they differ, one must be mindful that most patients with ACS could present with chest pain, but not every chest pain is due to ACS.