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 as cocaine.