Patients with a suspicion of myocardial ischemia /necrosis
Conditions
Interventions
Pre-hospital venous blood sampling and assessment of the modified HEART score.
Sponsors
Isala, Zwolle ism RAV IJsselvecht
Eligibility
Inclusion criteria
Inclusion criteria: •All out-of-hospital patients visited by an ambulance and a pre-hospital clinical suspicion of acute myocardial infarction •Transfer to a hospital •Age ≥ 18 years
Exclusion criteria
Exclusion criteria: •Comatose state •Cognitive impairment •Pregnancy •(Cardiogenic) shock •Cardiac asthma •Sustained ventricular tachyarrhythmia •End stage renal disease (dialysis patients) •No pre-hospital 12-lead ECG performed or available •ST-segment elevation •An obvious non-cardiac cause for the chest complaints, e.g. trauma, pneumothorax, pneumonia, etc. •Strong Suspicion of aortic dissection or pulmonary embolism •New onset left branch bundle block (LBBB) •Confirmed AMI <10 days prior to inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Percentage of patients with or without infarct diagnosis in the different HEART score categories (0-3, 4-6, >6) | — |
Secondary
| Measure | Time frame |
|---|---|
| •Discharge Diagnosis other than myocardial infarction •Diagnostics used in ER •Duration of Hospital Stay (hrs, days) •Costs | — |
Contacts
Public ContactA.W.J. Hof, van 't
Isala klinieken, lokatie "De Weezenlanden", Department of Cardiology, Groot Wezenland 20
Outcome results
None listed