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

来源：

AMERICAN HEART JOURNAL | 2024年 / 271卷

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.)

引用

页码：182 / 187

页数：6

共 12 条

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