Clinical trial Recruiting at 1 site Observational Ages 18 and up

Prehospital High-Sensitivity Troponin I to rule out heart attack for EMS patients

Official title: Prehospital Point-of-Care High-Sensitivity Troponin I for Rule-Out of Acute Myocardial Infarction in Suspected Non-ST-Segment Elevation Acute Coronary Syndrome: A Pilot Study

Run by Central Denmark Region · NCT07563998 · Data updated 2026-11-12

EMS patients with chest pain or possible heart symptoms are being studied to see if a portable hs-TnI test in the ambulance can help identify those at low risk for a heart attack.

More Myocardial Infarction (MI) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorCentral Denmark Region
Academic / other
Locations1 site (Aarhus N)
StatusRecruiting
StartedJuly 1, 2026
Main results expectedMay 14, 2027
Study endsJune 30, 2027
Registry record updatedSeptember 2, 2026
Trial IDNCT07563998 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18+ assessed by participating EMS units with symptoms suggestive of ACS and planned transport to hospital.

Probably not a fit

Patients with non-coronary causes of chest pain or those with ST-segment elevation on prehospital ECG may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective observational study in the Central Denmark Region tests the feasibility and diagnostic accuracy of measuring high-sensitivity troponin I in prehospital settings using a portable device. Blood is drawn during routine EMS care, analyzed on site, and results are not used to guide treatment. Final hospital diagnoses will be determined by standard medical assessments, including serial troponin testing. The goal is to see if prehospital hs-TnI can help triage patients without ST-elevation chest pain.

Why it matters

Potential benefit: If successful, prehospital hs-TnI testing could reduce unnecessary hospital transports and speed up reassurance for patients at low risk.

How similar studies have gone: Prehospital hs-TnI feasibility and diagnostic studies have shown potential, but this exact prehospital approach remains exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 years or older
* Assessed by one of the participating EMS units equipped for POCT sampling
* Presentation with symptoms suggestive of acute coronary syndrome
* Planned transport to hospital for further evaluation

Exclusion Criteria:

* ST-segment elevation on prehospital electrocardiogram
* Clinical condition requiring immediate life-saving intervention precluding study procedures
* Interhospital transport
* Prior inclusion in the study within 30 days

Where it's running

  • Prehospital Emergency Medical Services, Central Denamrk Region
    Aarhus N, Denmark
    Recruiting

Study contacts

  • Principal investigator: Martin F Gude, MD, PhD — Central Denmark Region
  • Study coordinator: Martin F Gude, MD, PhD
  • Email: martgude@rm.dk
  • Phone: +45 25 34 36 21

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.