Details

Autor(en) / Beteiligte

• Cooper, Jamie G.
• Ferguson, James
• Donaldson, Lorna A.
• Black, Kim M.M.
• Livock, Kate J.
• Horrill, Judith L.
• Davidson, Elaine M.
• Scott, Neil W.
• Lee, Amanda J.
• Fujisawa, Takeshi
• Lee, Kuan Ken
• Anand, Atul
• Shah, Anoop S.V.
• Mills, Nicholas L.

Titel

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

Ist Teil von

• The American heart journal, 2024-05, Vol.271, p.182-187

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2024

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.