The Evaluation and Management of Patients With Acute ChesT Pain in China

Conditions

Acute Chest Pain, Acute Coronary Syndrome

Keywords

Acute Chest Pain, Acute Coronary Syndrome, Evaluation and Management, Decision Aid, Healthcare Utilization

Brief summary

EMPACT is the first attempt to comprehensively evaluate the current emergency care of acute chest pain from a regional representative sample in China.Findings will allow new opportunities to facilitate the clinical quality improvements and ultimately reduce the mortality and health care burden in patients with acute chest pain. It also will help to establish a regional network and database for further research and performance improvement.

Kai Cheng, Wen Zheng, Jiali Wang, Shuo Wu, Jiaqi Zheng et al. (13 authors)

BMJ Open2025-03-011 citations

10.1136/bmjopen-2024-091085

Impact of admission glucose and 30-day major adverse cardiovascular events on patients with chest pain in an emergency setting: insights from the China EMPACT registry

Xinxin Yin, Xin Pan, Jingyu Zhang, Shuo Wu, Weikai Cui et al. (9 authors)

Frontiers in Cardiovascular Medicine2024-10-09

10.3389/fcvm.2024.1367704

Evaluation and management of patients with acute chest pain in China (EMPACT): protocol for a prospective, multicentre registry study

Wen Zheng, Jiali Wang, Feng Xu, Jiaqi Zheng, He Zhang et al. (10 authors)

BMJ Open2018-01-0113 citations

10.1136/bmjopen-2017-017872

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

No

Inclusion criteria

1. Eighteen years and older 2. Presenting to the ED 3. With acute chest pain or suspected ACS 4. Symptoms occurring within 24 hours 5. Informed consent from patient or next of kin

Exclusion criteria

1. Chest pain caused by trauma 2. Persisting or recurrent chest pain caused by rheumatic diseases or cancer 3. Transferred from another grade II or grade III hospital 4. Presenting to the ED again within 30 days after initial enrollment

Design outcomes

Primary

Measure	Time frame	Description
Major adverse cardiac events (MACE)	30 days after presenting to the emergency departments(ED)	The primary outcome was a composite of adjudicated MACEs, including death from all causes, non-fatal acute myocardial infarction (AMI), urgent revascularization, stroke, cardiac arrest, and cardiogenic shock.

Secondary

Measure	Time frame
revisiting to ED and rehospitalization	30 days after presenting to the EDs

Countries

China

Outcome results