At a glance
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Efficacy Evaluation of the HEART Pathway in Emergency Department Patients With Acute Chest Pain
In Brief
A clinical study evaluating HEART Pathway for Acute Coronary Syndrome and Chest Pain. Completed, enrolled 282 participants across 1 site.
Detailed Summary
Our research will examine a chest pain care strategy, called the HEART pathway, which is designed to correctly identify Emergency Department patients at high-risk for cardiovascular events, likely to benefit from further testing, and patients at very-low-risk for cardiovascular events, who may be safely discharged home. By using an individual's risk assessment to determining testing, we hope to improve the quality and efficiency of the care delivered to Emergency Department patients with chest pain. Our study will determine if the HEART pathway, which combines a clinical decision rule, the HEART score, and two serial troponin measurements, will reduce stress testing and cardiovascular imaging, decrease hospital length of stay, and reduce cost compared to usual care, while maintaining safety.
Study Details
Timeline
Interventions
During ED evaluation, patients are randomized to HEART Pathway or usual care arms.