The role of telecardiology and h-FABP/troponine in family practice in reducing unnecessary hospitalisation in patients with suspected ischemic heart disease and in early detection of myocardial infarction: a new diagnostic approach for the general practitioner

Ischemic heartdisease in patients often is presented with atypical complaints.
New diagnostic tools are available in general practice. Several studies have
shown that Telecardiology and the CardioDetect® test are reliable instruments.
We expect that with the use of these instruments the number of correctly
diagnosed patients that will be sent to the hospital will increase

Investigate the effectiveness of the use of telecardiology and biomarkers in
general practice. Invastigate if the number of correctly diagnosed patients
that will be sent to the hospital will increase

Before and after Study: General practitioner investigates and diagnoses the
patient ( care as usual). The GP and assistent perform a tele ECG and
CardioDetect® combi test. The result will be available within 15 minutes. After
these results the GP again gives the diagnose. The GP also takes a blood sample
to measure the Troponine T.

First fase: The GP make a phone call to the cardiologist and determines further
action

Second fase: The GP determines further action. (this fase will only be started
when de RTPO Leeuwarden has agreed)

not applicable

Burden: performance of an ECG and bloodsample
Risks: very small