Key result
The First Medical point-of-care device detected myocardial infarction with peak sensitivities of 93% for cardiac troponin I and 90% for CKMB within 24 hours of presentation.
Why the study?
Does the First Medical Cardiac Test device accurately detect myocardial infarction in patients presenting to the emergency department with chest pain?
Observational (n=369)
Does the First Medical Cardiac Test device accurately detect myocardial infarction in patients presenting to the emergency department with chest pain?
The First Medical point-of-care device demonstrated high sensitivity (>90% for cTnI and CKMB at >12 h) for detecting myocardial infarction in emergency department patients with chest pain.
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May support point-of-care MI detection in ED chest pain; leaves open prospective validation before practice change.
Apple et al. (2000) conducted an observational in myocardial infarction (n=369). First Medical Cardiac Test device vs. modified WHO criteria was evaluated on sensitivity for detection of MI based on peak concentrations within 24 h. The First Medical point-of-care device detected myocardial infarction with peak sensitivities of 93% for cardiac troponin I and 90% for CKMB within 24 hours of presentation.
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