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Brest Score Diagnosis of Congestive Heart Failure (CHF) Exacerbation
Dec 21, 2024
•
Mark Morgan
categories:
cardiology
This is a decision tool.
Brest Score
Clinical prediction score for congestive heart failure diagnosis in emergency room dyspnea
Characteristics:
age 65 years or over (1 point)
seizure (sudden) dyspnea (2 points)
night outbreak (1 point)
orthopnea (1 point)
history of pulmonary edema/prior congestive heart failure episode (2 points)
chronic pulmonary disease (-2 points)
myocardial infarction (1 point)
crackles (2 points)
leg edema (1 point)
ST-segment abnormality (1 point)
atrial fibrillation/flutter on electrocardiography (1 point)
Score -->
number
score=(Q1)
Interpretation (probability of acute congestive heart failure) -->
result
score2=2+(Q1);score2>8?'High probability - 91.5 percent':score2>3?'Intermediate probability - 58.5 percent':'Low probability - 6.7 percent'
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Reference:
#1
Basset A et al. Development of a clinical prediction score for congestive heart failure diagnosis in the emergency care setting: The Brest score. Am J Emerg Med. 2016 Dec;34(12):2277-2283.
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