Table 4. Description of low-risk patients by prehospital modified HEART Pathway who had 30-day MACE.
Age | Sex | Race/Ethnicity | Comorbidities | EMS HEAR Score (History value) | i-STAT cTn (0–0.08 ng/mL) | Initial Hospital Lab cTn ng/mL (ref range) | Peak Hospital Lab cTn ng/mL (ref range) | Event | Notes |
---|---|---|---|---|---|---|---|---|---|
54 yr | M | Latino | Known CAD | 3 (2) | 0.02 | 0.051 (0–0.025) | 0.053 (0–0.025) | Type II NSTEMI | Cocaine abuse |
43 yr | F | AA | HTN, HCL, DM, Obesity | 2(0) | 0.01 | 0.033 (0–0.025) | 0.053 (0–0.025) | Type II NSTEMI | Hypoxic asthma exacerbation with demand ischemia |
42 yr | M | AA | Smoker, HTN | 2(1) | 0.05 | 0.058 (0–0.040) | 0.109 (0–0.040) | Type II NSTEMI | Hypertensive urgency with demand ischemia |
45 yr | F | White | HTN | 1(0) | 0 | 0.044 (0–0.025) | 0.045 (0–0.025) | Type II NSTEMI | Hypertension with demand ischemia |
53 yr | M | AA | HTN, known CAD | 3(0) | 0 | 0.037 (0–0.025) | 0.044 (0–0.025) | Type II NSTEMI | Hypertensive heart and kidney disease, demand ischemia |
35 yr | M | AA | Smoker, HIV | 2(1) | 0 | 0.045 (0–0.040) | 0.045 (0–0.040) | Type II NSTEMI | Methamphetamine abuse |
53 yr | M | White | Smoker, DM, HTN, HCL, Obesity | 3(0) | 0 | 0.075 (0–0.040) | 0.086 (0–0.040) | Type I NSTEMI | Stent placed in left circumflex for 90% stenosis |
EMS—Emergency Medicine Services, POC—point-of-care, HEAR—History, ECG, Age, Risk factors, MACE—major adverse cardiac events, M—male; F—female; AA—African American; CAD—Coronary Artery Disease; HTN—Hypertension; HCL—Hypercholesterolemia; DM—Diabetes Mellitus; cath—catheterization; HIV—Human Immunodeficiency Virus Infection; NSTEMI—non-ST Elevation Myocardial Infarction; CMR—Cardiovascular Magnetic Resonance imaging.