Predicting acute coronary syndrome in males and females with chest pain who call an emergency medical communication centre.

ABSTRACT:

Background

Chest pain is a frequent reason for calls in emergency medical communication centre (EMCC). Detecting a coronary origin by phone is a challenge. This is especially so as the presentations differ according to gender. We aimed to establish and validate a sex-based model to predict a coronary origin of chest pain in patients calling an EMCC.

Methods

This prospective cohort study enrolled patients at 18 years of age or older who called the EMCC because of non-traumatic chest pain. The main outcome was the diagnosis of acute coronary syndrome (ACS) determined by expert evaluation of patient files.

Results

During 18 months, 3727 patients were enrolled: 2097 (56%) men and 1630 (44%) women. ACS was diagnosed in 508 (24%) men and 139 (9%) women. For men, independent

SUBMITTER: Reuter PG 

PROVIDER: S-EPMC6798370 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature