Table 1.

Inclusion and exclusion criteria

Inclusion criteria

Exclusion criteria

Age ≥18 years Suspected NSTE-ACS Symptom duration of at least 2 hours Modified HEAR(T) score ≤3 Provided written informed consent

ST-segment elevation Suspected non-cardiac cause of the symptoms requiring evaluation at the emergency department Comatose state, defined as a GCS score <8 Known cognitive impairment Pregnancy Cardiogenic shock, defined as systolic blood pressure <90 mm Hg, heart rate >100 bpm and peripheral oxygen saturation <90% Syncope Signs of heart failure Heart rhythm disorders and second-degree or third-degree atrioventricular block Known end-stage renal disease (dialysis and/or MDRD <30 mL/min) Suspected aortic dissection or pulmonary embolism Confirmed AMI, PCI or CABG <30 days prior to inclusion Communication issues with the patient and/or language barrier Decision of a present general practitioner to evaluate the patient at the emergency department Decision of the consultant cardiologist to evaluate the patient at the emergency department Any significant medical or mental condition, which in the investigator’s opinion may interfere with optimal participation in the study

AMI, acute myocardial infarction; CABG, coronary artery bypass grafting; GCS, Glasgow Coma Scale; MDRD, Modification of Diet in Renal Disease formula; NSTE-ACS, non–ST-segment elevation acute coronary syndrome; PCI, percutaneous coronary intervention.