Acute coronary syndrome Non-st segment Elevated Myocardial Infarction Undifferentiated chest pain
Conditions
Interventions
The PreHEART is available to a randomized patient whose risk of an ACS has been assessed. The decision to convey can be guided by the preHEART score which suggestion to non-convey for patients with a
Sponsors
none
Eligibility
Inclusion criteria
Inclusion criteria: Adults with undifferentiated chest pain.
Exclusion criteria
Exclusion criteria: Communication barrier (e.g. language, understanding) ST-segment elevation (electrocardiogram on scene is standard workup) Any obvious etiology for the symptoms requiring direct treatment (e.g. trauma) Being previously evaluated by ambulance personnel for the same complaint (already considered for participation) High clinical suspicion of a life-threating condition (e.g. sudden death survivor, hypothermia, shock, aortic dissection, hypoxia or intoxication) Cognitive impairment End-stage renal disease Pregnancy Inability or unwillingness to provide informed consent Not registered with a GP (huisarts) COVID suspicion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Unexpected Serious Adverse Events (USAE) at 3 and 30 days from the index contact. | — |
Secondary
| Measure | Time frame |
|---|---|
| * USAE at 6 months and 1 year from the index contact * Unexpected Major Adverse Cardiac Event (UMACE) at 3 days, 30 days, 6 months and 1 year after index contact. * Cumulative healthcare-related costs/resource * Quality of life at 3 days, 30 days, 6 months and 1 year of the index contact evaluated through the EuroQol 5D-5D-5L | — |
Contacts
Public ContactDennis Sagel
UMC Groningen
Outcome results
None listed