Why the study?
Elderly patients are often neglected in clinical trials, and proper diagnosis of acute myocardial infarction in this group remains problematic while decision aid rules are not commonly used in the region.
Do decision aid rules (T-MACS, HEART, EDACS, TIMI, GRACE, ADAPT) accurately diagnose acute myocardial infarction in elderly patients presenting to the emergency department with acute chest pain?
Do decision aid rules (T-MACS, HEART, EDACS, TIMI, GRACE, ADAPT) accurately diagnose acute myocardial infarction in elderly patients presenting to the emergency department with acute chest pain?
The T-MACS decision aid rule demonstrated excellent sensitivity for ruling out and high specificity for ruling in acute myocardial infarction in elderly patients presenting to the emergency department with chest pain.
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T-MACS showed highest accuracy for AMI rule-out in elderly ED patients; leaves open need for prospective validation before practice change.
Hrečko et al. (2021) studied this question.
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