Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 182-187 |
| Number of pages | 6 |
| Journal | American Heart Journal |
| Volume | 271 |
| Early online date | 23 Apr 2024 |
| DOIs | |
| Publication status | Published - May 2024 |
Bibliographical note
This study was approved by the National Ethics Committee (REC 14/NS/1037), registered in the Research Registry (UIN 2671), and was conducted in accordance with the Declaration of Helsinki.CRediT authorship contribution statement
Jamie G. Cooper: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. James Ferguson: Writing – review & editing, Supervision, Resources, Investigation, Funding acquisition, Data curation, Conceptualization. Lorna A. Donaldson: Writing – review & editing, Supervision, Software, Resources, Project administration, Methodology, Investigation, Data curation. Kim M.M. Black: Writing – review & editing, Supervision, Software, Resources, Investigation, Funding acquisition, Data curation, Conceptualization. Kate J. Livock: Writing – review & editing, Supervision, Software, Resources, Project administration, Funding acquisition. Judith L. Horrill: Writing – review & editing, Software, Resources, Project administration, Investigation. Elaine M. Davidson: Writing – review & editing, Validation, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Neil W. Scott: Writing – review & editing, Writing – original draft, Supervision, Methodology, Investigation, Funding acquisition, Formal analysis, Conceptualization. Amanda J. Lee: Writing – review & editing, Writing – original draft, Supervision, Methodology, Formal analysis. Takeshi Fujisawa: Writing – review & editing, Validation, Resources, Methodology, Investigation, Data curation. Kuan Ken Lee: Writing – review & editing, Validation, Formal analysis, Data curation. Atul Anand: Writing – review & editing, Validation, Formal analysis, Data curation. Anoop S.V. Shah: Writing – review & editing, Validation, Formal analysis, Data curation. Nicholas L. Mills: Writing – review & editing, Writing – original draft, Validation, Supervision, Methodology, Investigation, Formal analysis.