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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Central Denmark Region Academic / other |
| Locations | 1 site (Aarhus N) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | May 14, 2027 |
| Study ends | June 30, 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07563998 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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.