Prehospital risk stratification in suspected non-ST-segment elevation acute coronary syndrome with point-of-care troponin: an individual patient data meta-analysis
In well-trained EMS systems, where prompt and accurate follow-up of low-risk patients is possible, HEART-derived CRS effectively identify patients with a very low risk of 30-day mortality and MACE. However, implementation in other healthcare systems requires additional validation, given the variations in healthcare structure, risk stratification processes and follow-up capabilities.
Authors
- Simon A. Mahler (ORCID: https://orcid.org/0000-0003-2199-4078)
- Anna C. Snavely (ORCID: https://orcid.org/0000-0001-6916-4255)
- Rudolf T Tolsma (ORCID: https://orcid.org/0000-0001-5255-8645)
- Cetinyurek-Yavuz Aysun
- Jesse P. A. Demandt (ORCID: https://orcid.org/0000-0001-6506-7108)
- Marion Fokkert (ORCID: https://orcid.org/0000-0002-4687-1157)
- Jamie G. Cooper (ORCID: https://orcid.org/0000-0003-3812-7026)
- Pieter J. J. Vlaar (ORCID: https://orcid.org/0000-0002-8012-477X)
- Veerle A E van Hattem (ORCID: https://orcid.org/0000-0002-4856-5209)
- Dennis Sagel (ORCID: https://orcid.org/0000-0001-7681-5896)
- Marcel van ’t Veer (ORCID: https://orcid.org/0000-0002-5006-0111)
- N Van Royen
- Cyril Camaro (ORCID: https://orcid.org/0000-0001-6170-8318)
- Arnoud A. W. J. van ’t Hof
- P Pim van der Harst
- Lorna A A Donaldson
Institutions
- University Medical Center Groningen (NL)
- Radboud University Nijmegen (NL)
- University of Groningen (NL)
- University of Applied Sciences Utrecht (NL)
- Utrecht University (NL)
- University of Aberdeen (GB)
- Maastricht University Medical Centre (NL)
- Catharina Ziekenhuis (NL)
- Radboud University Medical Center (NL)
- University Medical Center Utrecht (NL)
- Maastricht University (NL)
- NHS Grampian (GB)
- Ambulance Care (Sweden) (SE)
- Netherlands Heart Institute (NL)
- Zuyderland Medisch Centrum (NL)
- Isala (NL)
- Wake Forest University (US)
- Eindhoven University of Technology (NL)
Publication Details
- Journal
- Heart
- Published
- 2026-01-02
- DOI
- https://doi.org/10.1136/heartjnl-2025-326922
- Citations
- 1
- Primary Topic
- Acute Myocardial Infarction Research
- Type
- article
- Field-Weighted Citation Impact
- 30.07