Coronary heart disease
Conditions
Interventions
Trial group:Diagnosis and treatment were performed based on improved HEART score
Control group:Conduct diagnosis and treatment based on clinical routine diagnosis and treatment procedures
Sponsors
Fuwai Hospital CAMS&PUMC
Eligibility
Sex/Gender
All
Age
19 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1: over 18 years old, male or female; 2. Patients presenting with acute chest pain with unspecified suspected ACS or suspected myocardial ischemia-related symptoms (such as suffocation, chest tightness, seizures of upper limb or jaw discomfort) within 24 hours; 3: At least one ECG and high-sensitivity troponin test were performed, and no ST segment elevation, new abnormal Q wave, or new complete left bundle branch block were found, which are suggestive of acute ST segment elevation myocardial infarction. Patients with known coronary heart disease (including stable coronary heart disease, past myocardial infarction, past coronary revascularization, or known coronary stenosis) could be enrolled. 4. Sign the study informed consent;
Exclusion criteria
Exclusion criteria: 1: Patients with new ST segment elevation =1mm, new abnormal Q wave or new complete left bundle branch block indicating acute ST segment elevation myocardial infarction; 2: High-risk non-ST elevation acute coronary syndrome was diagnosed at admission (GRACE score > 140 points) 3: Persistent chest pain with hypotension or hemodynamic instability; 4: Clear diagnosis of pulmonary embolism, aortic dissection, tension pneumothorax and other high-risk chest pain; 5: Traumatic chest pain; 6: Surgical treatment is planned; 7: There is a mental illness; 8: Incapacitated; 9: Life expectancy is less than 30 days; 10: has been enrolled in other clinical studies; 11: Other situations in which the researcher deems it inappropriate to participate; 12. Refuse to sign the informed consent for the study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Emergency room detention time and heart-assisted examination rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Predictive value of modified HEART scores for 30-day MACE events; | — |
Countries
China
Contacts
Public ContactYanmin Yang
Fuwai Hospital CAMS&PUMC
Outcome results
None listed