Primary care decision rule for chest pain using the Marburg heart score rule and troponin point of care test

Primary care decision rule for chest pain using the Marburg heart score rule and troponin point of care test - POB HELP

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON52642

Enrollment

1500

Registered

2021-04-16

Start date

2021-08-18

Completion date

Unknown

Last updated

2026-03-09

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

Conditions

Acute coronary syndrome heart attack

Interventions

Clinical decision rule consisting of the Marburg Heart Score in combination with high sensitivity troponin point of care test

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. Age 18 years or older 2. Presence of chest pain of new or recent onset where a cardiac etiology is considered possible.

Exclusion criteria

Exclusion criteria: 1. Hemodynamic instability 2. Onset of chest pain

Design outcomes

Primary

Measure	Time frame
(1) Accuracy (specificity and sensitivity) of the decision rule for excluding CAD and ACS and MACE (Major adverse cardiac event) (2) Number and percentages of referrals to secondary care.	—

Secondary

Measure	Time frame
(1) Subgroup analyses will be performed for gender, socio-economic status and duration of symptoms. (2) Health care costs (3) accuracy H(E)ART-score (4) accuracy of GP*s gut feeling (5) (non-)adherence to proposed treatment of decision rule (6) anxiety.	—

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP) · Data processed: Mar 14, 2026