A study to compare the effectiveness, when applied to clinical practice of an ‘accelerated’ chest pain diagnostic pathway, against the standard investigative process for adults presenting with possible cardiac chest pain at Christchurch Hospital.

Canterbury District Health Board0 个研究点目标入组 542 人开始时间: 2010年9月15日最近更新: 2020年1月13日

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•1.Adults > 18 years of age
•2.Presenting acutely to Christchurch hospital ED with chest pain (or discomfort) suggestive of AMI for whom, following initial clinical assessment, the attending clinician(s) intends to perform serial Cardiac Troponin (cTns), as part of the current chest pain investigation pathway for possible AMI.

•1. ST Segment Elevation Myocardial Infarction (STEMI) present on any ECG.
•2. Aged less than 18 years old
•3. Proven or suspected non-coronary pathology as the cause of chest pain
•4. Patients who will require admission regardless of a negative cTn, due to other medical conditions, need for other investigations or social considerations.
•5. Transfers from other hospitals
•6. Chest pain episode began over > 12 hours ago and still persisting pain
•7. Subjects previously enrolled in this study
•8. Patient (or Legal Representative) unable or unwilling to provide informed consent.
•9. Anticipated problem with follow-up e.g. resident outside New Zealand
•10. Researcher does not feel that recruitment is appropriate (e.g. terminal illness)

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