A blood test that could rule out a heart attack in under 20 minutes should be used routinely in NHS Hospitals, say UK researchers.

Currently, patients who are suspected of having had an MI are immediately checked for Blood Troponin levels. To confirm the diagnosis the levels have to be repeated three hours later to pick up signs of heart muscle damage. A team from King’s College London are trying a new blood test on patients and say the cMyC test could be rolled out on the NHS within five years.

They claim it would save the health service millions of pounds each year by freeing up beds and sending well patients home. It is estimated that aout two-thirds of patients with chest pain will not have had a heart attack.

Levels of cMyC (cardiac myosin-binding protein C) in the blood rise more rapidly and to a higher extent after a heart attack than troponin proteins, studies suggest. That means doctors can use the new test to rule out a heart attack in a higher proportion of patients straightaway, according to the researchers who report their trial findings in the journal Circulation.

They carried out troponin and cMyC blood tests on nearly 2,000 people admitted to hospitals in Switzerland, Italy and Spain with acute chest pain. The new test was better at giving patients the all-clear within the first three hours of presenting with chest pain. Dr Tom Kaier, one of the lead researchers, funded by the British Heart Foundation (BHF) at St Thomas’ Hospital, London, said: “Our research shows that the new test has the potential to reassure many thousands more patients with a single test, improving their experience and freeing up valuable hospital beds in A&E departments and wards across the country.” He says if the test were to be used routinely, it could provide doctors with reliable results within 15 to 30 minutes. It is only being used for research at the moment, however.

Prof Simon Ray, from the British Cardiovascular Society, said more research was needed before the new test could replace the troponin test. “Unlike currently available blood tests which need to be repeated at least three hours after pain it looks as though a single test is enough to make a confident decision on whether a patient has or has not suffered a heart attack. Not only can it be done earlier after the onset of symptoms but it also seems to be better at discriminating between heart attacks and other causes of chest pains. This is very important.”