Feasibility of prehospital identification of non-ST-elevation myocardial infarction by ECG, troponin and echocardiography.

ABSTRACT:

Background

Prehospital identification and selection of treatment strategy in patients with suspected non-ST-elevation myocardial infarction (NSTEMI) is challenging. The aim of this study was to evaluate the feasibility and diagnostic accuracy of prehospital ECG, troponin T (TnT) and transthoracic echocardiography (TTE) acquired by paramedics in early identification of NSTEMI.

Methods

Consecutive patients requesting an ambulance from Sorlandet Hospital, Norway due to chest pain between November 2017 and January 2020 were screened for inclusion in the study. One ambulance was equipped with ECG recorder, point-of-care TnT test and TTE scanner, and six paramedics were given necessary training. ECG, TnT result and TTE images were acquired prehospitally and transferred to an in-ho

SUBMITTER: Jacobsen L 

PROVIDER: S-EPMC9411895 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature