Publications by authors named "Angela Foulkes"
Article Synopsis
- Chest pain often leads to ambulance calls, prompting the need for effective diagnostic pathways to assess acute myocardial infarction (AMI) risk in patients before reaching the hospital.!
- A study was conducted with 817 patients suspected of AMI, comparing various decision aids that either required or did not require cardiac troponin (cTn) testing for diagnostics.!
- The results showed varying sensitivity and specificity among the decision aids; notably, the Troponin-only aid had high sensitivity (98.3%) but low specificity (25.5%), indicating its effectiveness in identifying low-risk patients while also highlighting the challenge of false positives.!
Introduction: Within the UK, chest pain is one of the most common reasons for emergency (999) ambulance calls and the most common reason for emergency hospital admission. Diagnosing acute coronary syndromes (ACS) in a patient with chest pain in the prehospital setting by a paramedic is challenging. The Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision rule is a validated tool used in the emergency department (ED) to stratify patients with suspected ACS following a single blood test.
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