Acute fatal chest pain: optimized procedure in emergency department

Acute fatal chest pain: optimized procedure in emergency department

OBJECTIVE To explore the diagnostic procedure of acute fatal chest pain in emergency department (ED) in order to decrease the misdiagnosis rate and shorten the definite time to diagnosis. The ultimate aim is to rescue the patients timely and effectively. METHODS Three hundreds and two patients (56.9 ± 11.8 Years, 72% men) complained with acute chest pain and chest distress presenting to our E...

Acute chest pain fast track at the emergency department: who was misdiagnosed for acute coronary syndrome?

BACKGROUND Acute coronary syndrome (ACS) is a commonly treated disease in the emergency department (ED). Acute chest pain is a common presenting symptom of ACS. Acute chest pain fast track (ACPFT) is a triage to cover patients presenting with chest pain with the aims of early detection and treatment for ACS. This study aimed to assess the quality of the ACPFT with the aim of improving the quali...

Triage of chest pain patients in the emergency department.

Patients (b) and (c) are usually treated with anti-angina and antiplatelet therapy and patient (a) may not be on any cardiac medications. The clinical presentation must be considered in the context of other factors, eg age, gender, hypertension,dyslipidemias,positive family history of premature coronary artery disease, diabetes, chronic kidney disease, cigarette smoking, and use of drugs such a...

Panic disorder in the emergency department chest pain population

Chest pain in the accident and emergency department.

Four per cent of patients attend the Accident and Emergency Department (A&E) present with chest pain. In this prospective study of 297 patients the value of chest radiography is assessed. Overall, 23% of chest X-rays (CXRs) had an abnormality which influenced management of the patient, rising to 40% in those patients admitted to Coronary Care. Twenty-nine per cent of CXRs were misinterpreted by...