acute coronary syndrome heart attack
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Age 18 years or older. * Referred to cardiac ED with chest pain suspected of ACS; inclusion at arrival (T
Exclusion criteria
Exclusion criteria: * Out of hospital cardiac arrest. * Patients with sudden onset tachycardia and a frequency of 110 bpm or higher (supraventricular or ventricular) * Patients who are hemodynamically unstable or in which an acute non-coronary diagnosis is suspected, e.g. pulmonary embolism, thoracic aortic dissection etc. * Patients recently already admitted for the same set of symptoms at a previous healthcare institution before being transferred to the participating clinical site. * Patients not willing or not able to provide informed consent due to their medical condition as judged by the physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sample comparison: The primary objective is to compare the analytical performance of Siemens® point-of-care high sensitive troponin I testing in different sample types by using the coefficient of variation. This comparison will comprise Siemens® POC capillary (2 fingersticks: one sample with a heparin coated transfer device and one sample with a non-heparin coated transfer device) vs. Siemens® POC venipuncture and vs. Siemens® POC plasma. | — |
Secondary
| Measure | Time frame |
|---|---|
| * The relationship between POC sample types by the Bland-Altman method. * The relationship between POC sample types by linear regression and Pearson*s correlation. * To create an overview of baseline characteristics of the population. * The mortality and major adverse cardiovascular events (MACE) of the population at 30 days. MACE is defined as a composite of cardiac death and myocardial infarction. * To determine the modified HEART score retrospectively based upon POC capillary results in the population. * To compare the retrospectively determined modified HEART score based upon POC capillary heparin coated transfer device with the retrospectively determined modified HEART score based upon POC capillary non-heparin coated transfer device. | — |
Countries
Netherlands