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Pre-hospital evaluation of chest pain patients using the modified HEART-score: rationale and design.
- Source :
-
Future cardiology [Future Cardiol] 2024 Apr 25; Vol. 20 (5-6), pp. 241-250. Date of Electronic Publication: 2024 Jun 28. - Publication Year :
- 2024
-
Abstract
- Background: This study assesses how ambulance paramedics using the modified HEART-score with a point-of-care cardiac troponin (cTn) compare to the emergency physicians using the modified HEART-score with a high-sensitive cTn (hs-cTn) in patients with suspected non-ST-elevation acute coronary syndrome (NSTE-ACS), focusing on interobserver agreement and diagnostic performance. Methods: In this prospective multicenter cohort, we compare four cTn testing strategies (serial point of care and hs-cTn cTn measurement) with and without the HEART-score. Outcomes include the HEART-score's interobserver agreement, NSTE-ACS at discharge, major adverse cardiovascular events (MACE) after 30 days, and diagnostic accuracy of the different strategies. Conclusion: The POPular HEART study aims to improve NSTE-ACS diagnostic pathways, promoting pre-hospital detection and ruling out of NSTE-ACS to minimize unnecessary hospitalizations and associated costs. Clinical Trial Registration: NCT04851418 (ClinicalTrials.gov).
Details
- Language :
- English
- ISSN :
- 1744-8298
- Volume :
- 20
- Issue :
- 5-6
- Database :
- MEDLINE
- Journal :
- Future cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 38940186
- Full Text :
- https://doi.org/10.1080/14796678.2024.2356995