One-Hour heart attack test could save lives and slash ER wait times
NCT ID NCT05649384
First seen Jun 24, 2026 · Last updated Sep 18, 2026 · Updated 3 times
Summary
This study compares two blood test schedules for diagnosing heart attacks in the emergency room: the standard 3-hour test and a newer 1-hour test. Over 64,000 adults with chest pain will be enrolled to see if the faster test is just as safe and accurate. If it works, patients could get diagnosed and treated much sooner.
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 make heart attack diagnosis faster and safer, reducing ER wait times and improving patient outcomes.
- What could go wrong
- The trial is observational, not a controlled experiment, so results may not prove cause and effect. The faster test might miss some heart attacks in real-world use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 64,374 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2020
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 18 and above * Presentation with acute non-traumatic acute chest pain to the emergency department * Suspicion of acute myocardial infarction Exclusion Criteria: * Terminal kidney failure requiring dialysis * Cardiac arrest * Cardiogenic shock
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Attikon General Hospital Athens
Athens, Greece
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Azienda Ospedaliera San Giovanni Addolorata
Roma, Italy
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Baylor St. Luke's Medical Center
Houston, Texas, 77030, United States
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Careggi University Hospital Florence
Florence, Italy
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Emergency Institute for Cardiovascular Diseases C.C. Iliescu
Bucharest, Romania
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Hospital Città della Salute e della Scienza di Torino
Torino, Italy
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Hospital Clinic Barcelona
Barcelona, Spain
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Hospital Clínico Universitario Valencia
Valencia, Spain
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Kantonsspital Aarau
Aarau, Switzerland
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Kantonsspital Luzern
Lucerne, Switzerland
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Konkuk University Medical Center
Seoul, South Korea
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Royal Cornwall Hospitals Treliske
Truro, United Kingdom
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Royal London Hospital
London, United Kingdom
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St Andrew's War Memorial Hospital Brisbane
Brisbane, Australia
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St. Claraspital
Basel, Switzerland
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University Central Hospital Helsinki
Helsinki, Finland
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University Hospital October 12 Madrid
Madrid, Spain
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University Hospital Ramon y Cajal
Madrid, Spain
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University Hospital Zurich
Zurich, Switzerland
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Vienna General Hospital (AKH Wien)
Vienna, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Every minute counts: study tracks how delays shape heart attack survival
- Stick-On patch aims to catch dangerous heart decline sooner
- Sleep apnea clues may unmask hidden heart risks in survivors
- Can new imaging and genetics unlock the secrets of heart attacks?
- Blood test clues: could two proteins predict heart failure after a heart attack?
- Which strategy wins for heart attack patients with multiple blocked arteries?