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"Heajin Chung"

Original Articles

Cardiovascular

The predictive value of HEART score for acute coronary syndrome and significant coronary artery stenosis
Changsung Han, Heajin Chung, Youngjoo Lee, Hye Young Jang, Young Shin Cho, Junbum Park, Sang-Il Kim
Clin Exp Emerg Med 2020;7(4):267-274.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.19.084

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The predictive value of HEART score for acute coronary syndrome and significant coronary artery stenosis
Clin Exp Emerg Med. 2020;7(4):267-274.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.19.084
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The predictive value of HEART score for acute coronary syndrome and significant coronary artery stenosis
Clin Exp Emerg Med. 2020;7(4):267-274.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.19.084
Close
Objective
Rapid determination of acute coronary syndrome (ACS) in the emergency department (ED) is very important for patients presenting with ischemic symptoms. The aim of this study was to determine the predictive value of HEART score for ACS and significant coronary artery stenosis (SCS).
Methods
We retrospectively analyzed data of patients who visited the ED with chest discomfort and were admitted to the cardiology department. Enrolled patients were classified into ACS and non-ACS groups according to their discharge diagnosis. Patients who underwent imaging were further divided into SCS and non-SCS groups according to study results. We compared age, sex, vital signs, risk factors, electrocardiogram, troponin, and HEART score for each group. For ACS and SCS predictive performance, the test characteristics of HEART score was calculated using sensitivity, specificity, predictive value, likelihood ratio, and receiver operating characteristic (ROC) curve analysis.
Results
Of 207 patients, 112 had ACS. Among enrolled patients, 155 underwent imaging workup, of whom 67 had SCS. HEART score ≤3 had 93% sensitivity for ACS and 97% for SCS. HEART score ≥7 had 82% specificity for ACS and 83% for SCS. HEART score area under ROC curve for ACS was 0.706 (95% confidence interval, 0.627–0.776) and 0.737 (95% confidence interval, 0.660–0.804) for SCS.
Conclusion
HEART score was a fair predictor of ACS and SCS in ED patients who presented with chest symptoms and were admitted to the cardiology department. The predictive power of HEART score was better for SCS than for ACS.

Citations

Citations to this article as recorded by  Crossref logo
  • Diagnostic Accuracy Improvement of an Updated HEART Score to Predict Coronary Artery Disease as Detected by Coronary Computed Tomography Angiography
    Michele Della Rocca, Stefano Ferdico, Nicola Cosentino, Alice Bonomi, Andrea Baggiano, Manuela Muratori, Saima Mushtaq, Laura Salvini, Matteo Biroli, Edona Leka, Gianluca Pontone, Marco Grazi, Emilio Assanelli
    Journal of Clinical Medicine.2026; 15(4): 1424.     CrossRef
  • Retrospective analysis of the performance of the PROMISE minimal risk tool for patients presenting with recent onset stable chest pain
    Conor Tuffs, Natasha Khullar, Terry Levy, Vivek Kodoth, Rosie Swallow, Peter O’Kane, Jehangir Din, Chun Shing Kwok, Nick Curzen, Jonathan Hinton
    Open Heart.2026; 13(1): e003837.     CrossRef
  • A Cross-Sectional Study on the Relationship between the HEART Score and the Severity of CAD using the SYNTAX Score in Patients with NSTEMI Admitted to the Emergency Department: A Study from Turkey
    MS Pepele, I Aktas, O Demiroz, S Derya, E Yildirim, MN Bilen, B Demir
    Nigerian Journal of Clinical Practice.2025; 28(6): 758.     CrossRef
  • Role of HEART score in prediction of coronary artery disease and major adverse cardiac events in patients presenting with chest pain
    Tanja Stojkovic, Eva Stojkovic, Dejan Sakac, Aleksandar Redzek, Anastazija Stojsic-Milosavljevic, Lazar Velicki, Biljana Parapid
    Srpski arhiv za celokupno lekarstvo.2022; 150(3-4): 149.     CrossRef
  • 10,670 View
  • 144 Download
  • 4 Web of Science
  • 4 Crossref

Critical Care

Validation of quick sequential organ failure assessment score for poor outcome prediction among emergency department patients with suspected infection
Young Wha Sohn, Hye Young Jang, Suyeon Park, Youngjoo Lee, Young Shin Cho, Junbum Park, Heajin Chung, Sang-Il Kim
Clin Exp Emerg Med 2019;6(4):314-320.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.070

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Validation of quick sequential organ failure assessment score for poor outcome prediction among emergency department patients with suspected infection
Clin Exp Emerg Med. 2019;6(4):314-320.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.070
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Validation of quick sequential organ failure assessment score for poor outcome prediction among emergency department patients with suspected infection
Clin Exp Emerg Med. 2019;6(4):314-320.   Published online December 31, 2019
DOI: https://doi.org/10.15441/ceem.18.070
Close
Objective
The quick sequential organ failure assessment (qSOFA) score, which includes mentation, systolic blood pressure, and respiratory rate, was developed to identify serious sepsis in out-of-hospital or emergency department (ED) settings. We evaluated the ability of the qSOFA score to predict poor outcome in South Korean ED patients with suspected infection.
Methods
The qSOFA score was calculated for adult ED patients with suspected infection. Patients who received intravenous or oral antibiotics in the ED were considered to have infection. In-hospital mortality rate, admission rate, intensive care unit (ICU) admission rate, length of hospital stay (LOS), and lactate levels were compared between the qSOFA score groups. Receiver operating characteristic curves and area under the receiver operating characteristic curve values for in-hospital mortality were calculated according to qSOFA cut-off points and lactate levels.
Results
Of 2,698 patients, in-hospital mortality occurred in 134 (5.0%). The mortality rate increased with increasing qSOFA score (2.2%, 6.4%, 17.5%, and 42.4% for qSOFA scores 0, 1, 2, and 3, respectively, P<0.001). The admission rate, ICU admission rate, LOS, and lactate level also increased with increasing qSOFA score (all P<0.001). The area under the receiver operating characteristic curve values for predicting in-hospital mortality associated with qSOFA score, lactate ≥2 mmol/L, and lactate ≥4 mmol/L were 0.719 (95% confidence interval [CI], 0.670 to 0.768), 0.657 (95% CI, 0.603 to 0.710), and 0.632 (95% CI, 0.571 to 0.693), respectively.
Conclusion
Patients with a higher qSOFA score had higher admission, ICU admission, and in-hospital mortality rates, longer LOS, and higher lactate level. The qSOFA score showed better performance for predicting poor outcome than lactate level.

Citations

Citations to this article as recorded by  Crossref logo
  • Clinical utility of biomarkers for outcomes prediction in adults with suspected sepsis presenting to the emergency department: a synthesis of current evidence
    Mari Imamura, Sinead N Duggan, Thenmalar Vadiveloo, Jamie G Cooper, Callum T Kaye, Paul Manson, Gianni Virgili, Lorna Aucott, Mike Clarke, Miriam Brazzelli
    Health Technology Assessment.2026; : 1.     CrossRef
  • The Role of qSOFA, Derived Neutrophil-to-Lymphocyte Ratio, MEWS, and PIRO Scores in Predicting the Severity of Odontogenic Infections in Young and Adult Patients
    Serban Talpos Niculescu, Robert Avramut, Tareq Hajaj, Raluca Maracineanu, Antonis Perdiou, Roxana Talpos Niculescu, Marius Pricop, Horatiu Urechescu, Florin Urtila, Roxana Radu, Nicoleta Nikolajevic Stoican, Malina Popa
    Biomedicines.2025; 13(3): 532.     CrossRef
  • Sodium level in patients with sepsis: what is the predictive value?
    Zain Sayed, Ahmed A. Obiedallah, Soheir M. Kasem, Abdelraouf M.S. Abdelraouf, Kareem S.M. Ismail, Alaa O. Ahmed
    Research and Opinion in Anesthesia & Intensive Care.2025; 12(1): 35.     CrossRef
  • Lactate Enhanced Quick Sequential Organ Failure Assessment Score (Lqsofa) as a Tool to Predict the Prognosis in Patients of Sepsis in Surgical Intensive Care Unit
    Akash Sharma, Nitin Garg, Rahul Patel, Pooja Sharma
    International Journal of Recent Surgical and Medical Sciences.2025; 11: e015.     CrossRef
  • Comparative analysis of Glasgow Coma Scale, quick Sepsis-related Organ Failure Assessment, base excess, and lactate for mortality prediction in critically ill emergency department patients
    Gürbüz Meral, Şenol Ardıç, Serkan Günay, Kadir Güzel, Ahmet Köse, Hülya Gençbay Durmuş, Serhat Uysal, Aydın Coşkun
    Turkish Journal of Emergency Medicine.2024; 24(4): 231.     CrossRef
  • 8,817 View
  • 119 Download
  • 2 Web of Science
  • 5 Crossref

Case Report

Gastrointestinal

Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
Jungyoup Lee, Kyuseok Kim, You Hwan Jo, Jae Hyuk Lee, Joonghee Kim, Heajin Chung, Ji Eun Hwang
Clin Exp Emerg Med 2016;3(1):55-58.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.006

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Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
Clin Exp Emerg Med. 2016;3(1):55-58.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.006
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Use of resuscitative endovascular balloon occlusion of the aorta in a patient with gastrointestinal bleeding
Clin Exp Emerg Med. 2016;3(1):55-58.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.006
Close
Resuscitative endovascular balloon occlusion of the aorta (REBOA) was developed for controlling intra-abdominal arterial bleeding before definitive bleeding control, and is commonly used in patients with ruptured abdominal aortic aneurysms. Although there is limited evidence for other uses of REBOA, we used REBOA in a patient with massive gastrointestinal bleeding. A 53-year-old man with hematochezia was admitted to our emergency department with an initial systolic blood pressure (SBP) of 83 mmHg. His SBP decreased to 40 mmHg in 10 minutes despite rapid fluid infusion. We decided to resuscitate the patient with REBOA in the emergency department and then move him to an intervention room after stabilization. After aortic occlusion, SBP abruptly increased from 57 to 108 mmHg, and the patient could be transferred to an intervention room. The patient was admitted to intensive care, but died of massive rebleeding 24 hours after admission to the emergency department.

Citations

Citations to this article as recorded by  Crossref logo
  • Is REBOA the Last Card to Control a Massive Gastrointestinal Bleeding?
    Fernando Rodríguez-Holguín, Alexander Salcedo, Philip Leib, Yaset Caicedo, José Julián Serna, Luis Toro, Sandra Carvajal, Manolo Riascos, Michael W. Parra, Alberto García, Carlos A. Ordoñez
    Journal of Surgical Research.2024; 296: 735.     CrossRef
  • Computational study of haemodynamic change induced by the resuscitative endovascular balloon aortic occlusion
    Jiade Qiu, Xiaomei Tian, Hongjun Yuan, Junyang Cao, Xin Chen, Xin Li, Dengfeng Wu, Daojian Cheng, Xianren Zhang, Fengyong Liu
    Molecular Simulation.2024; 50(12): 743.     CrossRef
  • Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a strategy for postpartum haemorrhage management: A narrative review
    Michele Salvagno, Marta Grinza, Giacomo Coppalini, Alessandro de Cassai, Rossana Soloperto, Alessia Degrassi, Andrew Carlin, Filippo Annoni, Fabrizia Calabrese, Fabio Silvio Taccone
    International Journal of Obstetric Anesthesia.2024; 60: 104260.     CrossRef
  • One-dimensional analysis method of pulsatile blood flow in arterial network for REBOA operations
    Jiade Qiu, Xin Chen, Dengfeng Wu, Xianren Zhang, Daojian Cheng
    Computers in Biology and Medicine.2023; 159: 106898.     CrossRef
  • Die aortoösophageale Fistel – Eine seltene Differenzialdiagnose der oberen Gastrointestinalblutung
    Julia Johanna Grannemann, Achim Röper, Sebastian Rehberg, Gerrit Jansen
    Der Anaesthesist.2021; 70(10): 866.     CrossRef
  • Safe balloon inflation parameters for resuscitative endovascular balloon occlusion of the aorta
    Kaspars Maleckis, Courtney Keiser, Majid Jadidi, Eric Anttila, Anastasia Desyatova, Jason MacTaggart, Alexey Kamenskiy
    Journal of Trauma and Acute Care Surgery.2021; 91(2): 302.     CrossRef
  • Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock Due to a Gastric Ulcer: A Case Report
    Shigeto ISHIKAWA, Masao NARITA, Makiko TAMUNE, Koki UMEDA, Michiaki KAKU, Toshihiko MAYUMI
    Journal of UOEH.2021; 43(3): 363.     CrossRef
  • Indicações e resultados para o uso expandido da oclusão ressuscitativa por balão endovascular da aorta - REBOA.
    Marcelo Augusto Fontenelle Ribeiro Júnior, Andressa Daniel Maurício, Cassia Tieni Kawase Costa, Paola Rezende Néder, Samara de Souza Augusto, Salomone Di-Saverio, Megan Brenner
    Revista do Colégio Brasileiro de Cirurgiões.2019;[Epub]     CrossRef
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA): an updated review
    MARCELO AUGUSTO FONTENELLE RIBEIRO JÚNIOR, MEGAN BRENNER, ALEXANDER T. M. NGUYEN, CÉLIA Y. D. FENG, RAÍSSA REIS DE-MOURA, VINICIUS C. RODRIGUES, RENATA L. PRADO
    Revista do Colégio Brasileiro de Cirurgiões.2018;[Epub]     CrossRef
  • A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination
    B. L. S. Borger van der Burg, Thijs T. C. F. van Dongen, J. J. Morrison, P. P. A. Hedeman Joosten, J. J. DuBose, T. M. Hörer, R. Hoencamp
    European Journal of Trauma and Emergency Surgery.2018; 44(4): 535.     CrossRef
  • 12,780 View
  • 119 Download
  • 12 Web of Science
  • 10 Crossref
Original Article

Critical Care

Awareness and knowledge of sepsis in the general Korean population: comparison with the awareness and knowledge of acute myocardial infarction and stroke
Minji Park, Kyuseok Kim, Jae Hyuk Lee, Changwoo Kang, You Hwan Jo, Dong Hoon Kim, Kyeong Won Kang, Soo Hoon Lee, Chanjong Park, Joonghee Kim, Heajin Chung, Hyunmi Park, Sujin Jang
Clin Exp Emerg Med 2014;1(1):41-48.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.014

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Awareness and knowledge of sepsis in the general Korean population: comparison with the awareness and knowledge of acute myocardial infarction and stroke
Clin Exp Emerg Med. 2014;1(1):41-48.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.014
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Awareness and knowledge of sepsis in the general Korean population: comparison with the awareness and knowledge of acute myocardial infarction and stroke
Clin Exp Emerg Med. 2014;1(1):41-48.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.014
Close
Objective

Patients with severe sepsis or septic shock require timely, aggressive management to improve their outcomes, and early presentation of patients to the hospital may also be important. Thus, public awareness about sepsis may be important for improved outcomes. However, there are no studies regarding the public awareness of sepsis in the general Korean population. Therefore, the objective of this survey was to gain insight into the public awareness of sepsis.

 Methods

Prospective paper-based and web-based surveys were issued between May and June 2013 to adults aged ≥18 years.

 Results

A total of 1,081 participants responded to the survey (394 paper-based and 687 web-based). Mean age was 38.7±11.4 years, and 541 participants (50%) were men. Of the 1,081 participants, 831 (76.9%) had heard of the term “sepsis.” Of these participants, only 295 (35%) responded correctly regarding the definition of sepsis. However, 1,019 participants (94.3%) had heard of acute myocardial infarction, and 817 of these (80%) correctly defined acute myocardial infarction. Regarding stroke, 1,047 (96.9%) had heard of stroke, and 975 of these responded (93.1%) correctly to the definition of stroke.

 Conclusion

There is poor public awareness about sepsis compared with that of acute myocardial infarction and stroke. This may limit the timely management of severe sepsis and septic shock.

Citations

Citations to this article as recorded by  Crossref logo
  • The Role of Perceived Urgency and Barriers in Using Emergency Medical Care for Sepsis: A German-Wide, Representative Survey Using Case Vignettes
    Sebastian Born, Norman Rose, Silke Piedmont, Daniel Schwarzkopf, Mathias W. Pletz, Wiltrud Abels, Konrad Reinhart, Carolin Fleischmann-Struzek
    Critical Care Medicine.2026; 54(2): 291.     CrossRef
  • Public knoweldge of sepsis in Saudi Arabia: A cross-sectional study
    Kadejh Abdulrahman Bashekah, Alla Hussain Felemban, Lubna Abdulrahman Hafiz, Abdulrahman Mauafaq Aljifri, Dalal Nasser Gaith Alsharif, Abdulaziz Ahmad Albarakati, Hind Mauafaq Aljifri, Sarah Mauafaq Aljifri, Hind Abdullah Ebrahim Abdullah, Hanan Ali Zurba
    Medicine.2025; 104(22): e42643.     CrossRef
  • Sepsis incidence, suspicion, prediction and mortality in emergency medical services: a cohort study related to the current international sepsis guideline
    Silke Piedmont, Ludwig Goldhahn, Enno Swart, Bernt-Peter Robra, Carolin Fleischmann-Struzek, Rajan Somasundaram, Wolfgang Bauer
    Infection.2024; 52(4): 1325.     CrossRef
  • Most patients with an increased risk for sepsis-related morbidity or death do not recognize sepsis as a medical emergency: results of a survey study using case vignettes
    Sebastian Born, Carolin Fleischmann-Struzek, Wiltrud Abels, Silke Piedmont, Edmund Neugebauer, Konrad Reinhart, Evjenia Toubekis, Odette Wegwarth, Daniel Schwarzkopf
    Critical Care.2023;[Epub]     CrossRef
  • Assessing Awareness and Actions Must Be Taken in Acute Myocardial Infarction: A Cross-Sectional Study on the General Population in Alahssa, Saudi Arabia
    Abdullah Almaqhawi, Abdullah Alkhalaf, Mohammed Al Qadhib, Ali M Alhashim, Norah S Alsaad, Mshari S Alqahtani, Mohammed Alqahtani, Osama F Alamri, Fatimah Buali, Ibraheem Alhusain
    Cureus.2023;[Epub]     CrossRef
  • Text-Based vs. Graphical Information Formats in Sepsis Prevention and Early Detection: A Randomized Controlled Trial on Informed Choice
    Luka Johanna Debbeler, Anne Pohrt, Carolin Fleischmann-Struzek, Daniel Schwarzkopf, Sebastian Born, Konrad Reinhart, Odette Wegwarth
    Journal of Clinical Medicine.2022; 11(13): 3659.     CrossRef
  • Public awareness and knowledge of sepsis: a cross-sectional survey of adults in Canada
    Jeanna Parsons Leigh, Rebecca Brundin-Mather, Stephana Julia Moss, Angie Nickel, Ariana Parolini, Deirdre Walsh, Blair L. Bigham, Alix J. E. Carter, Alison Fox-Robichaud, Kirsten M. Fiest
    Critical Care.2022;[Epub]     CrossRef
  • Public Awareness of Sepsis Compared to Acute Myocardial Infarction and Stroke in Jeddah, Saudi Arabia: Questionnaire Study
    Nourah Al-Orainan, Adel Mohamed EL-Shabasy, Khawlah Alamin Al-Shanqiti, Rawan Awad Al-Harbi, Hadeel Rajeh Alnashri, Raghad Ahmed Rezqallah, Alanoud Abdallah Mirghani
    Interactive Journal of Medical Research.2020; 9(2): e16195.     CrossRef
  • Korean Registry for Improving Sepsis Survival (KISS): Protocol for a Multicenter Cohort of Adult Patients with Sepsis or Septic Shock
    Jong Hun Kim, Nam Su Ku, Youn Jeong Kim, Hong Bin Kim, Hyeri Seok, Dong-Gun Lee, Jin Seo Lee, Su Jin Jeong, Jung-Hyun Choi, Jang Wook Sohn, Min Ja Kim, Dae Won Park
    Infection & Chemotherapy.2020; 52(1): 31.     CrossRef
  • Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco
    Ahmed Kharbach, Majdouline Obtel, Abderrahmane Achbani, Youssef Bouchriti, Kenza Hassouni, Laila Lahlou, Rachid Razine
    Annals of Global Health.2020;[Epub]     CrossRef
  • Development of questionnaire on awareness and action towards symptoms and risk factors of heart attack and stroke among a Malaysian population
    Abdullah Abdulmajid Abdo Ahmed, Abdulkareem Mohammed AL-Shami, Shazia Jamshed, Abdul Rahman Fata Nahas
    BMC Public Health.2019;[Epub]     CrossRef
  • Determinants of sepsis knowledge: a representative survey of the elderly population in Germany
    Sarah Eitze, Carolin Fleischmann-Struzek, Cornelia Betsch, Konrad Reinhart
    Critical Care.2018;[Epub]     CrossRef
  • Assessment of the general public's knowledge of stroke: A cross-sectional study in Yaoundé, Cameroon
    Jobert Richie Nansseu, Cedric Paterson Atangana, Saint-Just N. Petnga, Joseph Kamtchum-Tatuene, Jean Jacques Noubiap
    Journal of the Neurological Sciences.2017; 378: 123.     CrossRef
  • Public Awareness of Sepsis Is Low in Sweden
    Lisa Mellhammar, Bertil Christensson, Adam Linder
    Open Forum Infectious Diseases.2015;[Epub]     CrossRef
  • 17,094 View
  • 166 Download
  • 14 Web of Science
  • 14 Crossref
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CEEM : Clinical and Experimental Emergency Medicine