| Autor: |
Tolsma, Rudolf T, Fokkert, Marion J, Ottervanger, Jan Paul, van Dongen, Dominique N, Badings, Erik A, der Sluis, Aize van, van't Hof, Arnoud WJ, Slingerland, Robbert J |
| Zdroj: |
Future Cardiology; Oct2023, Vol. 19 Issue 10, p497-504, 8p |
| Abstrakt: |
Aim: This study aims to enhance prehospital risk assessment for suspected non-ST-elevation acute coronary syndrome (NSTE-ACS) patients using the HEART-score. By incorporating novel point-of-care high-sensitivity cardiac troponin devices, a modified HEART-score was developed and compared with the conventional approach. Patients & methods: Troponin points within the modified HEART-score are based on values below the limit of quantitation (LoQ), between the LoQ and 99th percentile and above the 99th percentile of the used device. A total HEART-score of three or lower is considered low-risk for major adverse cardiac events. Results & conclusion: The number of low-risk patients decreased based on the modified HEART-score. The sensitivity and negative predictive value increased which suggests increasing safety in ruling out patients with suspected NSTE-ACS. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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