Publications by authors named "Jenny Sandgren"
Background: European guidelines recommend the use of a 0h/1h hs-cTn (high-sensitivity cardiac troponin) protocol in patients with acute chest pain. We aimed to determine the performance of this protocol in routine care when supplemented with patient history and ECG and a recommendation to refrain from noninvasive testing in low-risk patients.
Methods And Results: This was a pre- and postimplementation study with concurrent controls.
Article Synopsis
- The study examines the impact of early reperfusion therapy on complications related to acute coronary syndrome (ACS) patients, finding that while complications have decreased, patients still frequently require high-level monitoring in costly settings like CCUs or ICUs.
- Out of 26,545 patients with chest pain analyzed in the ESC-TROP trial, 2,463 were diagnosed with ACS, and 151 experienced complications within 30 days, indicating a 6.1% complication rate.
- The research highlights that a significant number of complications were present upon emergency department admission, and notably, around 40% of patients with complications were not admitted to high-level care units, suggesting potential gaps in patient management.