Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter?

ABSTRACT:

Background

Despite negative troponins and nonischemic electrocardiograms (ECGs), patients at moderate risk for acute coronary syndrome (ACS) are frequently admitted. The objective of this study was to describe the major adverse cardiac event (MACE) rate in moderate-risk patients and how it differs based on history of coronary artery disease (CAD).

Methods

A secondary analysis of the HEART Pathway implementation study was conducted. This prospective interrupted time-series study accrued adults with possible ACS from three sites (November 2013-January 2016). This analysis excluded low-risk patients determined by emergency providers' HEART Pathway assessments. Non-low-risk patients were further classified as high risk, based on elevated troponin measures or ischemic ECG finding

SUBMITTER: McGinnis HD 

PROVIDER: S-EPMC9232933 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature