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Could a 1-Hour blood test replace the 3-Hour test for heart attacks?

NCT ID NCT05649384

First seen Feb 01, 2026 · Last updated Jun 22, 2026 · Updated 14 times

Summary

This study compares two ways of using blood tests to diagnose heart attacks in people arriving at the emergency room with chest pain. The standard approach measures a heart-damage marker in the blood at arrival and again 3 hours later. The newer approach does the second test after just 1 hour. Researchers want to see if the faster method is as safe and accurate, and whether it can help patients spend less time in the ER. Over 64,000 adults with chest pain will be included.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Attikon General Hospital Athens

    Athens, Greece

  • Azienda Ospedaliera San Giovanni Addolorata

    Roma, Italy

  • Baylor St. Luke's Medical Center

    Houston, Texas, 77030, United States

  • Careggi University Hospital Florence

    Florence, Italy

  • Emergency Institute for Cardiovascular Diseases C.C. Iliescu

    Bucharest, Romania

  • Hospital Città della Salute e della Scienza di Torino

    Torino, Italy

  • Hospital Clinic Barcelona

    Barcelona, Spain

  • Hospital Clínico Universitario Valencia

    Valencia, Spain

  • Kantonsspital Aarau

    Aarau, Switzerland

  • Kantonsspital Luzern

    Lucerne, Switzerland

  • Konkuk University Medical Center

    Seoul, South Korea

  • Royal Cornwall Hospitals Treliske

    Truro, United Kingdom

  • Royal London Hospital

    London, United Kingdom

  • St Andrew's War Memorial Hospital Brisbane

    Brisbane, Australia

  • St. Claraspital

    Basel, Switzerland

  • University Central Hospital Helsinki

    Helsinki, Finland

  • University Hospital October 12 Madrid

    Madrid, Spain

  • University Hospital Ramon y Cajal

    Madrid, Spain

  • University Hospital Zurich

    Zurich, Switzerland

  • Vienna General Hospital (AKH Wien)

    Vienna, Austria

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

High-sensitivity cardiac troponin blood test

What this could lead to

If successful, this could show that a faster 1-hour blood test is just as safe and accurate as the standard 3-hour test for ruling out heart attacks, potentially speeding up emergency care.

What could go wrong

This is an observational study, not a treatment trial. The faster test may not be as reliable in real-world settings or for all patient groups. Results may not apply to hospitals with different equipment or practices.

Conditions

The condition(s) this trial relates to.

acute subendocardial myocardial infarction Chest Pain Emergencies intermediate coronary syndrome myocardial infarction Non-ST Elevated Myocardial Infarction

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.