Health Condition 1: I219- Acute myocardial infarction, unspecified
Conditions
Interventions
Intervention1: Diagnostic accuracy of high sensitivity Troponin I (hsTnI) in predicting Acute coronary syndrome.: Intervention details following increase in High sensitivity Trop I (above the referenc
Sponsors
Institute funding The Madras Medical Mission Hospital
Eligibility
Inclusion criteria
Inclusion criteria: All walk-in patients between 18 and 85 years of age presenting with Acute angina or equivalent symptoms suggestive of ACS who are evaluated and proceeded for cardiac triage by the clinical team of the Emergency Department of Madras Medical Mission
Exclusion criteria
Exclusion criteria: Less than 18 years of age History of Pregnancy, Patients with a history of surgery/trauma in the previous 4 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the sensitivity and specificity of hsTnI in diagnosing Acute coronary syndrome in patients with chest pain reporting to ER Timepoint: zero to two hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To validate the Rule in / Rule out algorithm for the early detection of Acute myocardial infarction (AMI) by incorporating hsTnI in a clinical protocol, for assessing patients reporting to emergency department of Cardiac tertiary care hospital by implementing 0–2hr algorithm using hsTrop I assay To evaluate AUC (Area under curve) with ROC for sensitivity vs specificity for the rule-in and rule-out of diagnosis of Myocardial Infarction(MI) To evaluate 99th percentile cut-off (URL) of hsTnI to the population group of MMM for the diagnosis of cardiac injury (Cardiac tertiary care hospital of South India) To evaluate the superiority of hsTnI as a early cardiac marker in comparison to conventional Troponin I and Triage Trop I POCT assay To study the significance of using VITROS hs Trop I in cardiac diseases other than AMI such as congestive heart failure, myocardial injury, myocarditis, etc. Timepoint: one month | — |
Countries
India
Contacts
Public ContactDr Chitra Sree Varadarajan
The Madras Medical Mission Hospital
Outcome results
None listed