Pre-hOspital evaluation of chest Pain patients with sUspected non ST-segment eLevation myocARdial infarction using the HEART-score with a Troponin point-of-care test

Pre-hOspital evaluation of chest Pain patients with sUspected non ST-segment eLevation myocARdial infarction using the HEART-score with a Troponin point-of-care test - POPULAR HEART

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON49607

Enrollment

650

Registered

2020-03-16

Start date

2020-08-01

Completion date

Unknown

Last updated

2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

acute coronary syndrome chest pain

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: - All out-of-hospital chest pain patients visited by an ambulance - Transportation to a hospital with working diagnosis non ST-segment elevation acute coronary syndrome - Age >= 18 years

Exclusion criteria

Exclusion criteria: • Comatose state • Cognitive impairment • Pregnancy • Hemodynamic instability or shock • No pre-hospital 12-lead ECG performed or available • Electrocardiographic ST-segment elevation in the prehospital phase • An obvious non-cardiac cause for the chest complaints (trauma, pneumothorax, pneumonia, etc.) • Suspicion of aortic dissection or pulmonary embolism

Design outcomes

Primary

Measure	Time frame
Main study parameters/endpoints: 1. HEART-score agreement (interobserver variability between pre-hospital and in-hospital HEART-score assessment) (primary objective) 2. Final diagnosis of NSTE-ACS at discharge 3. Myocardial infarction at discharge	—

Secondary

Measure	Time frame
Secondary study parameters/endpoints: 4. Composite endpoint (cardiovascular mortality, myocardial infarction, urgent revascularisation) at 30 days 5. Angina frequency and stability, physical limitations, treatment satisfaction, quality-of-life, cardiac anxiety and depression (SAQ, PHQ-4)	—

Countries

Netherlands

Outcome results