Safe discharge from the cardiac emergency room with a rapid rule-out myocardial infarction protocol using serial CK-MBmass
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چکیده
منابع مشابه
Safe discharge from the cardiac emergency room with a rapid rule-out myocardial infarction protocol using serial CK-MB(mass).
OBJECTIVE To determine whether a new protocol, using a rapid and sensitive CK-MB(mass) assay and serial sampling, can rule out myocardial infarction in patients with chest pain and decrease their length of stay in the cardiac emergency room without increasing risk. DESIGN The combined incidence of cardiac death and acute myocardial infarction at 30 days, six months, and 24 months of follow up...
متن کاملMyocardial infarction: rapid ruling out in the emergency room
www.thelancet.com Vol 386 December 19/26, 2015 2449 Patients with symptoms of possible acute coronary syndrome make up a large proportion of people who present to emergency departments, where they undergo lengthy, intensive, and costly assessments. Yet few are fi nally diagnosed with an acute coronary syndrome. Improvements in methods to exclude acute coronary syndrome are needed to reliably re...
متن کاملRapid Protocols to Rule out Myocardial Infarction.
Evidence Summary Cardiac troponin T and I are released into the bloodstream when cardiac muscle is damaged. Cardiac troponin tests have been available for decades and are the preferred biomarkers for the diagnosis of acute myocardial infarction (AMI).1 However, until recently, they lacked sensitivity in the first few hours following an acute myocardial injury. Therefore, AMI could not be ruled ...
متن کاملEmergency management of chest pain: patient satisfaction with an emergency department based six hour rule out myocardial infarction protocol.
OBJECTIVE To measure the level of patient satisfaction with an emergency department based chest pain assessment unit. DESIGN Structured patient satisfaction surveys. SETTING Inner city university hospital emergency department. PARTICIPANTS 383 consecutive patients aged over 25 years with probable cardiac chest pain of less than 12 hours duration at moderate to low risk of acute myocardial...
متن کاملCardiac troponin testing is overused after the rule-in or rule-out of myocardial infarction.
(type A MU) is one of the major components in overall MU. It is possible to achieve a small MU by improving the imprecision of the sample preparation procedure. Other than ensuring complete proteolysis, we observed that adding the isotope-labeled internal standard before pro-teolysis provided better imprecision than after proteolysis. This may allow a better control of the isotope ratio through...
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ژورنال
عنوان ژورنال: Heart
سال: 2001
ISSN: 0007-0769
DOI: 10.1136/heart.85.2.143