491 Fate of “Low Risk” Chest Pain Patients Discharged From the Emergency Department

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Low-risk patients with chest pain and without evidence of myocardial infarction may be safely discharged from emergency department.

AIMS This study is an audit of the risk stratification of patients admitted to a university hospital emergency department with a suspected acute coronary syndrome (ACS). The main aim of the study was to investigate the prognosis of those patients who were discharged to home from the emergency room (ER) or adjacent chest pain observation unit (CPU). METHODS AND RESULTS Three thousand one hundr...

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Factors associated with physician follow-up among patients with chest pain discharged from the emergency department.

BACKGROUND Many patients with chest pain do not receive follow-up from a physician after discharge from the emergency department despite significant survival benefit associated with follow-up care. Our objective was to evaluate factors associated with physician follow-up to understand this gap in practice. METHODS We conducted an observational study involving patients at high risk who were as...

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Myeloperoxidase to Risk Stratify Emergency Department Patients with Chest Pain

Previous studies suggest that serum myeloperoxidase (MPO) is a potentially useful biomarker to risk stratify troponin-negative patients with suspected myocardial ischemia. We hypothesized that the relationship between initial serum MPO levels would correlate with 30-day adverse cardiac outcomes for low risk emergency department (ED) patients with suspected myocardial ischemia. This prospective ...

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Testing of Low - Risk Patients Presenting to the Emergency Department With Chest Pain

The management of low-risk patients presenting to emergency departments is a common and challenging clinical problem entailing 8 million emergency department visits annually. Although a majority of these patients do not have a life-threatening condition, the clinician must distinguish between those who require urgent treatment of a serious problem and those with more benign entities who do not ...

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Clinical decision aids for chest pain in the emergency department: identifying low-risk patients

Chest pain is one of the most common presenting complaints in the emergency department, though only a small minority of patients are subsequently diagnosed with acute coronary syndrome (ACS). However, missing the diagnosis has potential for significant morbidity and mortality. ACS presentations can be atypical, and their workups are often prolonged and costly. In order to risk-stratify patients...

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ژورنال

عنوان ژورنال: Heart, Lung and Circulation

سال: 2020

ISSN: 1443-9506

DOI: 10.1016/j.hlc.2020.09.498