Comparison of a single high-sensitivity cardiac troponin T measurement with the HEART score for rapid rule-out of acute myocardial infarction in a primary care emergency setting: a cohort study

Comparison of a single high-sensitivity cardiac troponin T measurement with the HEART score for rapid rule-out of acute myocardial infarction in a primary care emergency setting: a cohort study

ObjectiveThis study aims to compare the rule-out safety of a single high-sensitivity cardiac troponin T (hs-cTnT) with the History, ECG, Age, Risk factors and Troponin (HEART) score in a low-prevalence primary care setting of acute myocardial infarction (AMI).ParticipantsPatients with non-specific s...

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Veröffentlicht in:BMJ open 2021-02, Vol.11 (2), p.e046024, Article 046024
Hauptverfasser: Johannessen, Tonje R, Atar, Dan, Vallersnes, Odd Martin, Larstorp, Anne Cecilie K, Mdala, Ibrahimu, Halvorsen, Sigrun
Format: Artikel
Sprache:eng
Schlagworte:
Acute coronary syndromes
Age
Biomarkers
Cardiovascular disease
Cardiovascular Medicine
Cohort analysis
Cohort Studies
Coronary vessels
Diabetes
Dyspnea
Electrocardiography
Emergency Service, Hospital
Family medical history
General & Internal Medicine
Heart attacks
Humans
Hypertension
Life Sciences & Biomedicine
Medicine, General & Internal
Myocardial Infarction - diagnosis
Norway - epidemiology
Outpatient care facilities
Pain
Population
Primary care
Primary Health Care
Prospective Studies
Retrospective Studies
Risk Factors
Science & Technology
Time Factors
Troponin
Troponin T
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Zusammenfassung:ObjectiveThis study aims to compare the rule-out safety of a single high-sensitivity cardiac troponin T (hs-cTnT) with the History, ECG, Age, Risk factors and Troponin (HEART) score in a low-prevalence primary care setting of acute myocardial infarction (AMI).ParticipantsPatients with non-specific symptoms suggestive of AMI were consecutively enroled at a primary care emergency clinic in Oslo, Norway from November 2016 to October 2018.MethodsAfter initial assessment by a general practitioner, hs-cTnT samples were drawn. AMI was ruled-out by a single hs-cTnT
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2020-046024