Could paramedics use the HEART Pathway to identify patients at low-risk of myocardial infarction in the prehospital setting?

被引:0
作者
Cooper, Jamie G. [1 ,2 ]
Ferguson, James [1 ,2 ]
Donaldson, Lorna A. [3 ]
Black, Kim M. M. [1 ]
Livock, Kate J. [1 ]
Horrill, Judith L. [1 ]
Davidson, Elaine M. [4 ]
Scott, Neil W. [5 ]
Lee, Amanda J. [5 ]
Fujisawa, Takeshi [6 ,7 ]
Lee, Kuan Ken [6 ]
Anand, Atul [6 ]
Shah, Anoop S. V. [8 ]
Miils, Nicholas L. [6 ,9 ]
机构
[1] Aberdeen Royal Infirm, Emergency Dept, Aberdeen AB25 2ZN, Scotland
[2] Univ Aberdeen, Sch Med Med Sci & Nutr, Aberdeen, Scotland
[3] Scottish Ambulance Serv, Gyle Sq, Edinburgh, Scotland
[4] Aberdeen Royal Infirm, Dept Clin Biochem, Aberdeen, Scotland
[5] Univ Aberdeen, Med Stat Team, Aberdeen, Scotland
[6] Univ Edinburgh, BHF Ctr Cardiovasc Sci, Edinburgh, Scotland
[7] Univ Edinburgh, BHF Cardiovasc Biomarker Lab, Edinburgh, Scotland
[8] London Sch Hyg & Trop Med, Dept Noncommunicable Epidemiol, London, England
[9] Univ Edinburgh, Usher Inst, Edinburgh, Scotland
关键词
CHEST-PAIN;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In the Emergency Department, patients with suspected myocardial infarction can be risk stratified using the HEART pathway, which has recently been amended for prehospital use and modified for the incorporation of a high-sensitivity cardiac troponin test. In a prospective analysis, the performance of both HEART pathways in the prehospital setting, with a high-sensitivity cardiac troponin test using 3 different thresholds, was evaluated for major adverse cardiac events at 30 days. We found that both low-risk HEART pathways, when using the most conservative cardiac troponin thresholds, approached but did not reach accepted rule-out performance in the Emergency Department. (Am Heart J 2024;271:182-187.)
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收藏
页码:182 / 187
页数:6
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