Value of Prehospital Troponin Assessment in Suspected Non-ST-Elevation Acute Coronary Syndrome

Dominique N. van Dongen*, Marion J. Fokkert, Rudolf T. Tolsma, Erik A. Badings, Aize van der Sluis, Robbert J. Slingerland, Arnoud W. J. van't Hof, Jan Paul Ottervanger

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Web of Science)

Abstract

There is an increasing awareness that prehospital risk stratification in patients with suspected non-ST-elevation acute coronary syndrome (NSTE-ACS) is important. The HEART score accurately identifies patients at low risk and is nowadays fully assessable outside the hospital after the development of point-of-care (POC) troponin tests. However, the added value of the troponin component to the prehospital HEART score has not yet been assessed. This is a prospective cohort study including 700 patients with suspected NSTE-ACS in which prehospital risk stratification using the HEART score was performed by paramedics. Low risk was defined as HEAR or HEART score

Original languageEnglish
Pages (from-to)1610-1616
Number of pages7
JournalAmerican Journal of Cardiology
Volume122
Issue number10
DOIs
Publication statusPublished - 15 Nov 2018

Keywords

  • SENSITIVITY CARDIAC TROPONIN
  • CHEST-PAIN
  • EMERGENCY-DEPARTMENT
  • HEART SCORE
  • VALIDATION
  • MANAGEMENT
  • DIAGNOSIS
  • TRIAGE

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