Publications by authors named "Tsvetelina Nilsson"
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.
Background/aim: In ED chest pain patients, a 0-hour/1-hour protocol based on high sensitivity cardiac troponin T (hs-cTnT) tests combined with clinical risk stratification in diagnosing acute coronary syndrome is recommended. Two of the most promising risk stratification tools are the History, ECG, Age, Risk Factors and Troponin (HEART) and Emergency Department Assessment of Chest Pain (EDAC) scores. Few studies have assessed the diagnostic accuracy of the 0-hour/1-hour hs-cTnT protocol when combined with HEART score, and none with EDACS.
View Article and Find Full Text PDFBackground: In emergency department (ED) chest pain patients, it is believed that the diagnostic accuracy of the electrocardiogram (ECG) for acute coronary syndrome (ACS) is higher during ongoing than abated chest pain.
Objectives: We compared patient characteristics and the diagnostic performance of the ECG in ED patients presenting with ongoing, vs. abated, chest pain.