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

doi:10.1016/j.amjcard.2018.07.037

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 journal › Article › Academic › peer-review

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 language	English
Pages (from-to)	1610-1616
Number of pages	7
Journal	American Journal of Cardiology
Volume	122
Issue number	10
DOIs	https://doi.org/10.1016/j.amjcard.2018.07.037
Publication status	Published - 15 Nov 2018

Keywords

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

Access to Document

10.1016/j.amjcard.2018.07.037

Cite this

@article{32e803cbb24145629de819a81a0354f1,

title = "Value of Prehospital Troponin Assessment in Suspected Non-ST-Elevation Acute Coronary Syndrome",

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",

keywords = "SENSITIVITY CARDIAC TROPONIN, CHEST-PAIN, EMERGENCY-DEPARTMENT, HEART SCORE, VALIDATION, MANAGEMENT, DIAGNOSIS, TRIAGE",

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

year = "2018",

month = nov,

day = "15",

doi = "10.1016/j.amjcard.2018.07.037",

language = "English",

volume = "122",

pages = "1610--1616",

journal = "American Journal of Cardiology",

issn = "0002-9149",

publisher = "Excerpta Medica, Elsevier Science",

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T1 - Value of Prehospital Troponin Assessment in Suspected Non-ST-Elevation Acute Coronary Syndrome

AU - van Dongen, Dominique N.

AU - Fokkert, Marion J.

AU - Tolsma, Rudolf T.

AU - Badings, Erik A.

AU - van der Sluis, Aize

AU - Slingerland, Robbert J.

AU - van't Hof, Arnoud W. J.

AU - Ottervanger, Jan Paul

PY - 2018/11/15

Y1 - 2018/11/15

N2 - 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

AB - 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

KW - SENSITIVITY CARDIAC TROPONIN

KW - CHEST-PAIN

KW - EMERGENCY-DEPARTMENT

KW - HEART SCORE

KW - VALIDATION

KW - MANAGEMENT

KW - DIAGNOSIS

KW - TRIAGE

U2 - 10.1016/j.amjcard.2018.07.037

DO - 10.1016/j.amjcard.2018.07.037

M3 - Article

SN - 0002-9149

VL - 122

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EP - 1616

JO - American Journal of Cardiology

JF - American Journal of Cardiology

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