Could paramedics use the HEART Pathway to identify patients at low-risk of myocardial infarction in the prehospital setting?
Authors' conclusion
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.
Study context
- Population
- Patients with suspected MI in the prehospital setting
- Comparison
- HEART pathway vs modified HEART pathway with high-sensitivity cardiac troponin (3 thresholds)
- Outcome
- MACE
- Follow-up
- 30 days
Methodological detailsprehospital
- Prehospital
Performance
As reported in the abstract
Rule-out performance for MACE
- Both low-risk HEART pathways, with the most conservative troponin thresholds, approached but did not reach accepted ED rule-out performance
Original publication
Could paramedics use the HEART Pathway to identify patients at low-risk of myocardial infarction in the prehospital setting? Am Heart J. Published 30 March 2024. doi:10.
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