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
Cardiac societies release guideline on evaluation, diagnosis of chest pain
The recommendations from the American Heart Association and the American College of Cardiology, with support from other societies, provide algorithms for assessing and diagnosing chest pain in adults and offer 10 take-home points, including on use of testing and imaging.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/3.htm
10 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
Overtreatment from troponin testing
A reader responds to a recent article about high-sensitivity troponin with a personal story.
https://acphospitalist.acponline.org/archives/2024/07/03/letter-to-the-editor.htm
3 Jul 2024
High-sensitivity troponin reduced the cascade of cardio interventions after chest pain
An analysis of ED patients found an increase in repeat troponin testing and EKGs, but reductions in CT scans, stress tests, cardiology evaluations, and hospitalizations associated with implementation of high-sensitivity cardiac troponin testing.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/4.htm
23 Jun 2021
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
April 2007
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2007/04/
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
October 2015
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2015/10/
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