Predictors of Risk Stratification and Value of Point-of-Care of High-Sensitivity Cardiac Troponin-I in EMS Management of Non-ST-Segment Elevation Myocardial Infarction: A Retrospective Study.
Thomas PavlovskyMathias ObadiaStéphanie RagotBenedicte DouayEnrique CasalinoDaniel Aiham GhazaliPublished in: Prehospital and disaster medicine (2022)
The use of point-of-care troponin in EMS, combined with clinical and electrical criteria, allows risk stratification of NSTEMI patients from the prehospital management stage and optimization of referral to an appropriate care pathway. Patients classified as low risk should be referred to the emergency department (ED) and patients classified as high risk or very high risk to the cardiac intensive care unit or percutaneous coronary intervention (PCI) center.
Keyphrases
- percutaneous coronary intervention
- end stage renal disease
- emergency department
- st segment elevation myocardial infarction
- intensive care unit
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- acute myocardial infarction
- acute coronary syndrome
- primary care
- healthcare
- cardiac arrest
- left ventricular
- heart failure
- st elevation myocardial infarction
- atrial fibrillation
- coronary artery bypass grafting
- antiplatelet therapy
- acute respiratory distress syndrome
- mechanical ventilation
- health insurance
- chronic pain