Search results for "Chest Pain"
ED referrals of chest pain patients to testing not linked with improved cardiac outcomes
For patients who presented with chest pain but were not found to have myocardial injury, referral to noninvasive cardiac testing was not associated with improved outcomes within two years, according to a retrospective analysis comparing ED physicians by referral rates.
https://acphospitalist.acponline.org/archives/2024/06/05/ed-referrals-of-chest-pain-patients-to-testing-not-linked-with-improved-cardiac-outcomes.htm
5 Jun 2024
High-sensitivity troponin-based pathway safe, effective for chest pain patients without CAD
The American College of Cardiology expert consensus decision pathway for chest pain did not meet the criteria for safety among patients with known coronary artery disease (CAD), according to a study conducted in U.S. EDs.
https://acphospitalist.acponline.org/archives/2024/03/27/high-sensitivity-troponin-based-pathway-safe-effective-for-chest-pain-patients-without-cad.htm
27 Mar 2024
One- and two-hour chest pain triage algorithms better than older three-hour one
The European Society of Cardiology's 0/1-hour and 0/2-hour algorithms for triage of suspected acute myocardial infarction had higher sensitivity and negative predictive value than the society's 0/3-hour algorithm, according to a new meta-analysis.
https://acphospitalist.acponline.org/weekly/archives/2021/11/24/1.htm
24 Nov 2021
Adverse cardiac events rare in chest pain patients treated and discharged by ED
Among patients who presented to the ED with chest pain but were not diagnosed with myocardial infarction, risk of acute myocardial infarction, death, or coronary revascularization within 30 days did not appear to be affected by whether they were admitted, a retrospective study found.
https://acphospitalist.acponline.org/weekly/archives/2021/05/26/3.htm
26 May 2021
Stress echo and CCTA show similar safety, effectiveness for ED chest pain triage
Coronary computed tomography angiography (CCTA) did provide diagnoses of more noncardiac causes of pain and resulted in more pharmacotherapy for coronary artery disease compared to stress echocardiography, the study found.
https://acphospitalist.acponline.org/weekly/archives/2018/06/20/3.htm
20 Jun 2018
Negative high-sensitivity troponin T assays in ED may help avoid unnecessary admissions
Patients with symptoms of acute coronary syndrome but two negative high-sensitivity troponin T assays were unlikely to have adverse cardiovascular events in the next 30 days.
https://acphospitalist.acponline.org/weekly/archives/2017/12/20/1.htm
20 Dec 2017
Noninvasive cardiac testing in the ED leads to increased lengths of stay with no clinical improvement
The study of patients who presented to EDs with chest pain but had negative biomarkers and a nonischemic electrocardiogram found that 88% underwent coronary computed tomographic angiography or stress testing.
https://acphospitalist.acponline.org/weekly/archives/2017/11/22/2.htm
22 Nov 2017
HEART score appears safe for ED triage of chest pain patients
The HEART score uses a patient's History, Electrocardiogram, Age, Risk factors, and initial Troponin to predict risk of major adverse cardiac events after an ED visit for chest pain.
https://acphospitalist.acponline.org/weekly/archives/2017/04/26/4.htm
26 Apr 2017
Troponin T, history, and EKG rule MI in or out in chest pain patients
Troponin alone was highly effective at ruling out acute myocardial infarction and adverse cardiac events within 30 days but would have missed 3 cases of unstable angina, the study found.
https://acphospitalist.acponline.org/weekly/archives/2016/03/30/1.htm
30 Mar 2016