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A HEART Pathway pitfall in an admitted patient
Joshua J Oliver1, Matthew J Streitz1, Jessica M Hyams1
1Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.
Extending the HEART Pathway with a 3-hour delta troponin for admitted high-risk patients can improve early detection of myocardial infarction. This helps ensure timely interventions for patients boarding in the emergency department.
Area of Science:
- Cardiology
- Emergency Medicine
- Clinical Risk Stratification
Background:
- Emergency Department (ED) crowding leads to prolonged patient boarding.
- High-risk patients admitted for risk stratification may experience delays in care.
- Initial troponin levels can be negative despite cardiac injury due to peak levels at 6 hours.
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